GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC (EIN 86-1132471)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201322279349304232
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)
EIN861132471EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GSHS ADMINISTRATIVE SERVICES ORGANIZATIOBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGSHSNameControl
Phone9033152000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E MARSHALL AVENUEAddressLine1
CityLONGVIEWCity
StateTXState
ZIP Code75601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAT KEELName
TitleCFO/EXECUTIVE VPTitle
Phone9033152000Phone
Date Signed2013-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMANDA MAYAName
PTINP01067777PTIN
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAT KEELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1700 E MARSHALL AVENUEAddressLine1
CityLONGVIEWCity
StateTXState
ZIP Code75601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts46029242GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionPROVIDES ADMINISTRATIVE, MANAGERIAL, AND SUPPORT SERVICES FOR RELATED ENTITIES THAT PROVIDE HEALTHCARE SERVICES AND SERVICES RELATED THERE TO AS A BENEVOLENT, CHARITABLE, AND EDUCATIONAL INSTITUTION.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees320TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI521614TotalGrossUBI
Net Unrelated Business Txbl Income34565NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year36541287ProgramServiceRevenuePriorYear
Program Service Revenue CY46027997ProgramServiceRevenueCY
Investment Income Prior Year1123InvestmentIncomePriorYear
Investment Income Current Year1245InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year36542410TotalRevenuePriorYear
Total Revenue Current Year46029242TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18297665SalariesEtcPriorYear
Salaries Etc Current Year18869234SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13798802OtherExpensePriorYear
Other Expenses Current Year22130681OtherExpensesCurrentYear
Total Expenses Prior Year32096467TotalExpensesPriorYear
Total Expenses Current Year40999915TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4445943RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5029327RevenuesLessExpensesCY
Total Assets BOY15743951TotalAssetsBOY
Total Assets EOY19634867TotalAssetsEOY
Total Liabilities BOY4520809TotalLiabilitiesBOY
Total Liabilities EOY8973596TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11223142NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10661271NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDES ADMINISTRATIVE, MANAGERIAL, AND SUPPORT SERVICES FOR RELATED ENTITIES THAT PROVIDE HEALTHCARE SERVICES AND SERVICES RELATED THERE TO AS A BENEVOLENT, CHARITABLE, AND EDUCATIONAL INSTITUTION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense36850849Expense
Revenue45506383Revenue
DescriptionGSHS ADMINISTRATIVE SERVICES ORGANIZATION IS A NOT-FOR-PROFIT, TAX-EXEMPT CORPORATION FORMED IN 2005 TO PROVIDE ADMINISTRATIVE AND OTHER SERVICES TO VARIOUS ENTITIES WITH THE GOOD SHEPHERD HEALTH SYSTEM. GSHS IS THE SOLE MEMBER OF GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. THE CORPORATION'S BOARD OF DIRECTORS IS COMPRISED OF THE PRESIDENT OF THE CORPORATION, OR A VICE PRESIDENT DESIGNATED BY THE PRESIDENT, AND SUCH ADDITIONAL PERSONS AS ARE APPOINTED BY GSHS.THE GSHS ADMINISTRATIVE SERVICES ORGANIZATION IS COMPRISED OF SERVICES THAT PROVIDE SUPPORT TO THE OTHER ENTITIES OF THE ORGANIZATION. SOME OF THESE SERVICES INCLUDE ACCOUNTING, HUMAN RESOURCES, INFORMATION SYSTEMS, CARE MANAGEMENT, HEALTH INFORMATION MANAGEMENT, EDUCATION, MATERIALS MANAGEMENT, MANAGED CARE, INFECTION CONTROL, HOUSEKEEPING, SECURITY, AND PLANT OPERATIONS.OUR ACTIVITIES INCLUDE ADVOCACY, POLICY DEVELOPMENT, EDUCATION AND RESEARCH. WE WORK IN PARTNERSHIP WITH THE GSMC HEALTH NETWORKS ON A WIDE VARIETY OF ISSUES. WE PROVIDE EDUCATIONAL AND RESEARCH SERVICES.GSHS ADMINISTRATIVE SERVICES ORGANIZATION PROVIDES SERVICES TO THREE HOSPITALS, GOOD SHEPHERD MEDICAL CENTER, GOOD SHEPHERD MEDICAL CENTER-LINDEN, AND GOOD SHEPHERD MEDICAL CENTER-MARSHALL. THESE THREE HOSPITALS ARE 501(C)(3) ORGANIZATIONS, NOT-FOR-PROFIT COMMUNITY BASED HOSPITALS. THE HOSPITALS TOGETHER PROVIDE HEALTH SERVICES TO THE UNDERSERVED COMMUNITIES OF LONGVIEW AND NORTHEAST TEXAS, CASS, MORRIS AND MARION COUNTIES, AND HARRISON AND MARION COUNTIES, RESPECTIVELY.GSHS ADMINISTRATIVE SERVICES ORGANIZATION EXISTS FOR THE SOLE PURPOSE OF SUPPORTING OTHER NOT-FOR-PROFIT 501(C)(3) ORGANIZATIONS.Description
Total Program Service Expense36850849TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 With109698NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees320NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Policy1WhistleblowerPolicy
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 Line1JANET ANDERSENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9033155177TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
BUCK BIRDSONG
SYSTEM BOARD CHAIRMAN1.00X000
EDWARD BANOS
CEO40.00X722067015415X
RICHARD A DIAL
FINANCE COMMITTEE CHAIRMAN1.00X000
CONNIE HEIDBREDER
EXECUTIVE ASSISTANT34.004872102501X
KAREN WATTS
SENIOR VICE PRESIDENT AND CHIEF NURSING OFFICER40.0031591508549X
KENNETH CUNNINGHAM
EXECUTIVE VICE PRESIDENT40.00284794024602X
LEORA WILLIAMS
SECRETARY34.0081738017415X
MARION BENSON
VICE PRESIDENT40.00199523011064X
PAT KEEL
CFO40.0041244405950X
RON SHORT
VICE PRESIDENT40.00198271023646X
SANDIE FERRIGNO
VICE PRESIDENT40.0017324302442X
BETH CHRISMER
EXEC DIRECTOR OF RISK MGMT40.00124469013040X
ALLEN HOLD
DIRECTOR OF PATIENT ACCOUNTS40.00111471014048X
CHRIS COLLIER
ASSISTANT CONTROLLER40.00110711015152X
JANET ANDERSEN
SYSTEM CONTROLLER40.0012981204097X
LEON KOEHN
DIRECTOR OF AUDITING40.0010549504883X
RUBY BREWER
FORMER VICE PRESIDENT40.00181399012039X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3200073TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation174843TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDICAL INFORMATION TECHNOLOGY INC
MEDITECH CIRCLEWESTWOODMA02090SOFTWARE INSTALL/SUPPORT5067329
HARRISON COUNTY HOSPITAL ASSOCIATION
811 S WASHINGTONMARSHALLTX75670MEDICAL SERVICES3050579
GOOD SHEPHERD HOSPITAL INC
700 E MARSHALLLONGVIEWTX75601MEDICAL SERVICES1152516
BEACON PARTNERS INC
97 LIBBEY PARKWAY STE 400WEYMOUTHMA02189MEDICAL EDUCATION SERVICES772169
FULBRIGHT AND JAWORSKI LLP
1301 MCKINNEY STE 5100HOUSTONTX77010LEGAL548097
FieldValueIRS element (for citing)
Number Of Contractors GT100 K43NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT SERVICESDescription
Business Code541610BusinessCode
Total Revenue Column46027997TotalRevenueColumn
Related Or Exempt Function Income45506383RelatedOrExemptFunctionIncome
Unrelated Business Revenue521614UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue46027997TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column345TotalRevenueColumn
Exclusion$345ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other900Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other900Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column900TotalRevenueColumn
Exclusion$900ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column46029242TotalRevenueColumn
Related Or Exempt Function Income45506383RelatedOrExemptFunctionIncome
Unrelated Business Revenue521614UnrelatedBusinessRevenue
Exclusion$1,245ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1834203Total
Program Services1834203ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12125932Total
Program Services10428879ProgramServices
Management And General1697053ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total276442Total
Program Services276442ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3706295Total
Program Services3706295ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total926362Total
Program Services805341ProgramServices
Management And General121021ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total963633Total
Program Services963633ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total461952Total
Program Services461952ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26816Total
Program Services26816ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5665741Total
Program Services4671203ProgramServices
Management And General994538ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3746Total
Program Services3746ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1746363Total
Program Services1746363ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4761469Total
Program Services4743213ProgramServices
Management And General18256ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total158921Total
Program Services155496ProgramServices
Management And General3425ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total122853Total
Program Services122853ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1992048Total
Program Services1992048ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total42746Total
Program Services42746ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PLANT OPERATIONS28871982887198
BILLINGS AND COLLECTION13147731314773
MISCELLANEOUS EXPENSES10267691026769
LEASE AND RENTAL812603812603

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total143050Total
Program Services143050ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total40999915Total
Program Services36850849ProgramServices
Management And General4149066ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3620285BOY
EOY667826EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY69577BOY
EOY202395EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY76453BOY
EOY57617EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1509849BOY
EOY1589339EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis36964319LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24612823LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5822409BOY
EOY12351496EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4645378BOY
EOY4766194EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15743951BOY
EOY19634867EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3480791BOY
EOY5227670EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY638229BOY
EOY320522EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY401789BOY
EOY3425404EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4520809BOY
EOY8973596EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11223142BOY
EOY10661271EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11223142BOY
EOY10661271EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15743951BOY
EOY19634867EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5029327ReconcilationRevenueExpenses
Reconcilation Other Changes-5591198ReconcilationOtherChanges
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
THE GOOD SHEPHERD HOSPITAL INC
7510411543111$32,190,606
GOOD SHEPHERD MEDICAL CENTER-LINDEN
0108292823111$726,416
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts32917022SumOfAmounts

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33134OtherCostOrOtherBasis
Depreciation28648Depreciation
Book Value4486BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5567OtherCostOrOtherBasis
Depreciation2332Depreciation
Book Value3235BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis29287442OtherCostOrOtherBasis
Depreciation24581843Depreciation
Book Value4705599BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7638176OtherCostOrOtherBasis
Book Value7638176BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12351496TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM AFFILIATESDescription
Book Value4766194BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets4766194TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$3,425,404Amount
FieldValueIRS element (for citing)
Total Of Amounts3425404TotalOfAmounts
Total Revenue46029242TotalRevenue
Total Expenses40999915TotalExpenses
Excess Or Deficit For Year5029327ExcessOrDeficitForYear
Other-$5,591,198OtherAmount
Total Adjustments-5591198TotalAdjustments
Excess Or Deficit Per FS-561871ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt46027997TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal46027997RevenueSubtotal
Other Revenues Not Included1245OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1245RevenueNotRptdOnFinStmt
Total Revenue Per Form99046029242TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt40999915TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal40999915ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99040999915TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 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 2008.
PART XI, LINE 8 - OTHER ADJUSTMENTS:TRANSFERS TO AFFILIATES -5,591,198.
TRANSFERS TO AFFILIATES (5,591,198)

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
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 (8 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
EDWARD BANOS
51124402108230006125092900737482000
KAREN WATTS
2447700711450006125024240324464000
KENNETH CUNNINGHAM
21139707339700081640164380309396000
MARION BENSON
1436310558920008084029800210587000
PAT KEEL
3194080930360000059500418394000
RON SHORT
16158003669100082130154330221917000
SANDIE FERRIGNO
1582430150000000024420175685000
RUBY BREWER
15620202519700000120390193438000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS GSHS INC.
FORM 990, PART VI, SECTION A, LINE 7AAS THE SOLE MEMBER, GOOD SHEPHERD HEALTH SYSTEM, INC. HAS THE POWER TO APPROVE MEMBERS TO THE ORGANIZATION'S 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) APPROVE THE MEMBERS OF THE BOARD; B) APPROVE REMOVAL AND APPOINTMENTS TO FILL VACANCIES ON THE BOARD AND SET SIZE OF BOARD; C) APPROVE ELECTION AND REMOVAL OF OFFICERS OF THE CORPORATION AND ESTABLISH, TERMINATE AND/OR REVISE ALL EMPLOYMENT CONTRACTS, COMPENSATION AND BENEFITS PACKAGES OF THE OFFICERS OF THE CORPORATION REGARDLESS OF WHICH ENTITY ACTUALLY PAYS SUCH COMPENSATION OR BENEFITS; D) DESIGNATE THE FISCAL YEAR; E) APPROVE THE SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, OUTSIDE GENERAL LEGAL COUNSEL, AND OUTSIDE INVESTMENT ADVISORS; F) AMEND THE ARTICLES OF INCORPORATION; G) AMEND OR REPEAL THE BYLAWS; H) APPROVAL OF ALL MERGERS, ACQUISITIONS, CONSOLIDATIONS, OR AFFILIATIONS WITH OTHER ENTITIES, THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE SALE, MORTGAGE, OR ENCUMBRANCE OF ANY REAL PROPERTY OWNED BY THE CORPORATION; I) APPROVE THE DISSOLUTION OR LIQUIDATION OF THE CORPORATION; J) APPROVE CAPITAL PLANS, STRATEGIC PLANS, AND ANNUAL OPERATING AND CAPITAL BUDGETS; K) APPROVE ANY EXCEPTION TO THE CAPITAL BUDGET FOR A SINGLE ITEM OR RELATED ITEM THAT EXCEEDS $100,000 AND/OR APPROVE ANY AGGREGATE ANNUAL OPERATING EXPENDITURES THAT EXCEED THE BUDGET BY $50,000; L) SELECT OFFICIAL DEPOSITORIES FOR THE CORPORATION'S FUNDS; M) CREATE OR INVEST IN ANY SUBSIDIARY ENTITY OR ENTER INTO ANY PARTNERSHIP OR JOINT VENTURE; N) AUTHORIZE ANY LOANS, GUARANTEES, OR INCURRENCE OF DEBT; O) COMMENCE ANY LITIGATION OR OTHER LEGAL PROCEEDING, OR SETTLE, DISPOSE, OR TERMINATE OF ANY SUCH LITIGATION OR OTHER LEGAL PROCEEDING OR OF ANY CLAIM OR THREAT OF LITIGATION OR OTHER LEGAL PROCEEDING NOT FULLY COVERED BY INSURANCE; AND P) APPROVAL OF THE ADMISSION OF ADDITIONAL MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION PREPARES THE 990 INTERNALLY AND ENGAGES AN OUTSIDE ACCOUNTING FIRM TO REVIEW THE FORM 990. ONCE PREPARED AND REVIEWED, THE FORM IS REVIEWED BY 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 DISCLOSURES, AND THE CEO REVIEWS AND APPROVES EMPLOYEE DISCLOSURES. BOARD MINUTES NOTE WHEN A BOARD MEMBER DECLARES A CONFLICT AND DOES NOT VOTE.
FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION SUBCOMMITTE 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 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 5:TRANSFERS TO AFFILIATES -5,591,198. TOTAL TO FORM 990, PART XI, LINE 5: -5,591,198.CHANGES IN NET ASSETS OR FUND BALANCES:

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
GOOD SHEPHERD MEDICAL CENTER-LINDEN
404 N KAUFMAN STREETLINDENTX75563010829282HEALTHCARETX501(C)(3)LINE 3GSHS INC0
GSHS INC
700 E MARSHALL AVELONGVIEWTX75601752027157SUPPORT GSMCTX501(C)(3)LINE 11B, II0N/A
GOOD SHEPHERD MEDICAL CENTER-MARSHALL
811 SOUTH WASHINGTON AVENUEMARSHALLTX75670750974351HEALTHCARETX501(C)(3)LINE 3GSHS INC0
GOOD SHEPHERD HOSPITAL INC
700 E MARSHALL AVELONGVIEWTX75601751041154HEALTHCARETX501(C)(3)LINE 3GSHS INC0
GSMC-LINDEN FOUNDATION INC
404 N KAUFMAN STREETLINDENTX75563200845127SUPPORTTX501(C)(3)LINE 11A, IGOOD SHEPHERD MEDICAL CENTER - LINDEN0
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVELONGVIEWTX75601200845127SUPPORTTX501(C)(3)LINE 11A, IGSHS INC0
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVENUEMARSHALLTX75670752605699HEALTHCARETX501(C)(3)LINE 7GSHS INC0
MARSHALL HEALTH SERVICES INC
811 SOUTH WASHINGTON AVENUEMARSHALLTX75670752580686HEALTHCARETX501(C)(3)LINE 3GOOD SHEPHERD HOSPITAL INC0
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVELONGVIEWTX75601237203364SUPPORTTX501(C)(3)LINE 9GOOD SHEPHERD HOSPITAL INC0
CHAMPION EMS
2201 S MOBBERLY AVELONGVIEWTX75604752747708MED TRANSPORTTX501(C)(3)LINE 11B, IIGOOD SHEPHERD HOSPITAL 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
GSHS ENTERPRISES INC
700 E MARSHALL AVELONGVIEWTX75601752027162HEALTHCARETXGSHS INCC
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVELONGVIEWTX75601752554695INACTIVETXGOOD SHEPHERD HOSPITAL 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 AVELONGVIEWDE75601510412465HOLDING COMPANYTXGSHS ENTERPRISES INCC
GSHS ENTERPRISES OPERATING 1
700 E MARSHALL AVELONGVIEWDE75601752954772HEALTHCARETXGSHS ENTERPRISES INCC
GSHS ENTERPRISES OPERATING 2
700 E MARSHALL AVELONGVIEWDE75601752954777HEALTHCARETXGSHS ENTERPRISES INCC
GSHS ENTERPRISES OPERATING 3
700 E MARSHALL AVELONGVIEWDE75601750896512HEALTHCARETXGSHS 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 Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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