2012-08-15T15:10:46-05:00 2011-09-30 BKD LLP 2800 POST OAK BLVD STE 3200 HOUSTON TX 77056 990 2010-10-01 752605699 HARRISON COUNTY COMMUNITY HEALTH CARE FO DBA MARSHALL HOSPITAL FOUNDATION HARR 9039276982 811 SOUTH WASHINGTON MARSHALL TX 75670 PAT KEEL 9033155177 2012-08-15 1 7134994600 2010 2016-02-24 21:20:13Z RUSSELL COLLIER 700 E MARSHALL AVENUE LONGVIEW TX 75601 272216 0 X N/A X 1995 TX THE FOUNDATION WAS FORMED TO IMPROVE AND ENHANCE THE AVAILABILITY OF HEALTH CARE SERVICES AND WELLNESS PROGRAMS IN HARRISON COUNTY, TEXAS AND THE SURROUNDING COMMUNITIES. 19 17 0 17 0 0 138682 214117 0 0 0 9861 23403 -39074 162085 184904 2000 4000 0 0 0 0 0 0 15822 7390 15822 9390 19822 152695 165082 699786 872821 0 7953 699786 864868 X IT IS THE MISSION OF THE MARSHALL HOSPITAL FOUNDATION TO PROMOTE GROWTH OF GSMC-MARSHALL THROUGH A BROAD-BASED PROGRAM OF FUNDING AND TO SUPPORT THE HOSPITAL'S MISSION TO IDENTIFY AND PROVIDE EXEMPLARY HEALTHCARE IN A SAFE AND CARING ENVIRONMENT. 0 0 4000 4000 THE 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. 4000 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 19 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X RUSSELL J COLLIER 9039276734 811 S WASHINGTON MARSHALL TX 75670 WILLIAM ABNEY 1.00 X 0 0 0 CHRISTINA ANDERSON 1.00 X 0 0 0 MARTIN CLARK DDS 1.00 X 0 0 0 RUSS COLLIER 1.00 X X 0 388256 38340 EMMA BENNETT 1.00 X 0 0 0 GLEN BICKERDIKE 1.00 X 0 0 0 BRENDA BROWN 1.00 X 0 0 0 JIM HARRIS MD 1.00 X 0 0 0 FLOSSIE JASPER 1.00 X 0 0 0 ROBERT W PALMER MD 1.00 X X 0 0 0 RICKY PAUL MD 1.00 X 0 425474 21083 ANGIE RHOADES 1.00 X 0 0 0 CARL ROTH 1.00 X 0 0 0 DIANE TAYLOR 1.00 X 0 0 0 DAVID TITUS 1.00 X 0 0 0 DIANE TURNER 1.00 X 0 0 0 CECELIA WOOD 1.00 X X 0 0 0 AMANDA WYNN 1.00 X 0 0 0 WENDY MCDONALD 1.00 X 0 0 0 0 813730 59423 0 0 1 0 0 148326 65791 24885 214117 9861 9861 48238 148326 87312 -39074 -39074 184904 0 0 -29213 4000 4000 36 36 SUPPLIES AND OTHER 14983 14983 SERVICE CHARGES 803 803 19822 4000 0 15822 698312 853709 15979 15979 36 0 1438 19112 699786 872821 7953 0 7953 X 529517 694599 170269 170269 699786 864868 699786 872821 165082 0 X X 0 1 1 X 0 X 322106 184532 76040 138682 237470 958830 322106 184532 76040 138682 237470 958830 117476 841354 22015 11835 9861 43711 1002541 48238 0.83920 0.76080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12636 12636 0 3343 3343 0 0 184904 19822 165082 0 165082 247331 87312 87312 160019 24885 24885 184904 82249 87312 87312 -5063 24885 24885 19822 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. ADJUSTMENT FOR FUNDRAISING EXPENSES, SCHEDULE D, PART XII, LINE 2D 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 RACE TO WELLNESS 183897 135659 48238 1055 2940 15000 61799 RED DRESS LUNCHEON 12667 12667 555 4140 75 1748 196564 148326 48238 1610 7080 15075 63547 87312 -39074 0 0 0 0 0 0 0 0 0 RUSS COLLIER 0 322506 0 65750 0 0 0 31200 0 7140 0 426596 0 0 RICKY PAUL MD 0 365035 0 60439 0 0 0 16118 0 4965 0 446557 0 0 SUPPLEMENTAL INFORMATION PART III EDWARD BANOS RELATED ORGANIZATION 40 HOURS RUSS COLLIER RELATED ORGANIZATION 40 HOURS RICKY PAUL RELATED ORGANIZATION 40 HOURS FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C DISCLOSURES ARE OBTAINED ANNUALLY. THE BOARD REVIEWS AND APPROVES BOARD MEMBER DISCLOSURES. THE CEO REVIEWS AND APPROVES EMPLOYEE DISCLOSURES. BOARD MINUTES NOTE WHEN A BOARD MEMBER DECLARES A CONFLICT AND DOES NOT VOTE. FORM 990, PART VI, SECTION B, LINE 15 MARKET SURVEYS ARE EMPLOYED TO DETERMINE SALARY RANGES FOR KEY POSITIONS. THE BOARD OF DIRECTORS APPROVE EXECUTIVE COMPENSATION AND BONUSES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE INTERNAL ACCOUNTING COMMITTEE GATHERS AND PROVIDES INFORMATION TO THE EXTERNAL AUDITORS. ONCE THE AUDIT IS IN DRAFT FORM, THE INTERNAL ACCOUNTING COMMITTEE REVIEWS THE AUDIT AND THE AUDIT IS SUBSEQUENTLY REVIEWED BY THE BOARD. CHAMPION EMS 2201 S MOBBERLY AVE LONGVIEW TX 75604 752747708 MED TRANSPORT TX 501(C)(3) LINE 11B, II GOOD SHEPHERD MEDICAL CENTER 0 GOOD SHEPHERD HEALTH SYSTEM INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027157 SUPPORT GSMC TX 501(C)(3) LINE 11B, II N/A 0 GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW TX 75601 237203364 SUPPORT TX 501(C)(3) LINE 9 GOOD SHEPHERD MEDICAL CENTER 0 GOOD SHEPHERD MEDICAL CENTER 700 E MARSHALL AVE LONGVIEW TX 75601 751041154 HEALTHCARE TX 501(C)(3) LINE 3 GOOD SHEPHERD HEALTH SYSTEM INC 0 GOOD SHEPHERD MEDICAL CENTER-LINDEN 404 N KAUFMAN STREET LINDEN TX 75563 010829282 HEALTHCARE TX 501(C)(3) LINE 3 GOOD SHEPHERD HEALTH SYSTEM INC 0 GSMC-LINDEN FOUNDATION INC 404 N KAUFMAN STREET LINDEN TX 75563 200845127 SUPPORT TX 501(C)(3) LINE 11A, I GOOD SHEPHERD MEDICAL CENTER - LINDEN 0 GSHS ADMINISTRATIVE SERVICES ORGANIZATION 700 E MARSHALL AVE LONGVIEW TX 75601 861132471 ADMIN SUPPORT TX 501(C)(3) LINE 11A, I GOOD SHEPHERD HEALTH SYSTEM INC 0 MARSHALL HEALTH SERVICES INC 811 SOUTH WASHINGTON AVENUE MARSHALL TX 75670 752580686 HEALTHCARE TX 501(C)(3) LINE 3 GOOD SHEPHERD MEDICAL CENTER - MARSHALL 0 GOOD SHEPHERD MEDICAL CENTER-MARSHALL 811 SOUTH WASHINGTON AVENUE MARSHALL TX 75670 750974351 HEALTHCARE TX 501(C)(3) LINE 3 GOOD SHEPHERD HEALTH SYSTEM INC 0 GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW TX 75601 200845127 SUPPORT TX 501(C)(3) LINE 11A, I GOOD SHEPHERD HEALTH SYSTEM INC 0 GOOD SHEPHERD AMBULATORY SURGICAL CENTER 700 E MARSHALL AVE LONGVIEW TX 75601 900259782 AMBULATORY SURGERY TX GSHS ENTERPRISES OPERATING #2 INC RELATED 0 0 0.00000 GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW TX 75601 752554695 INACTIVE TX GOOD SHEPHERD MEDICAL CENTER C GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027162 HEALTHCARE TX GOOD SHEPHERD HEALTH SYSTEM INC C NORTHEAST TEXAS PHYSICIAN SERVICES 700 E MARSHALL AVE LONGVIEW TX 75601 752712245 MGMT SERVICES TX GSHS ENTERPRISES INC C GS PHYSICIAN SERVICES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752762417 MEDICAL SERVICES TX GSHS ENTERPRISES INC C GSHS ENTERPRISES HOLDING INC 700 E MARSHALL AVE LONGVIEW TX 75601 510412465 HOLDING COMPANY DE GSHS ENTERPRISES INC C GSHS ENTERPRISES OPERATING 1 700 E MARSHALL AVE LONGVIEW TX 75601 752954772 HEALTHCARE DE GSHS ENTERPRISES INC C GSHS ENTERPRISES OPERATING 2 700 E MARSHALL AVE LONGVIEW TX 75601 752954777 HEALTHCARE DE GSHS ENTERPRISES INC C GSHS ENTERPRISES OPERATING 3 700 E MARSHALL AVE LONGVIEW TX 75601 710896512 HEALTHCARE DE GSHS ENTERPRISES INC C GSHS MEDICAL PLAZA LTD 700 E MARSHALL AVE LONGVIEW TX 75601 752955157 HEALTHCARE TX GSHS ENTERPRISES OPERATING #1 INC C GSHS MEDICAL PLAZA III LTD 700 E MARSHALL AVE LONGVIEW TX 75601 731654263 HEALTHCARE TX GSHS ENTERPRISES OPERATING #3 INC C 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0