2011-06-02T12:42:13-05:00 2010-09-30 bkd llp 2800 post oak blvd ste 3200 houston TX 77056 990 2009-10-01 750974351 HARRISON COUNTY HOSPITAL ASSOCIATION GOOD SHEPHERD MEDICAL CENTER-MARSHALL HARR 9039276703 811 SOUTH WASHINGTON AVE MARSHALL TX 75670 RUSSELL COLLIER 9039276703 2011-05-16 1 7134994600 2011-05-19 2009 2016-02-24 21:20:13Z RUSSELL J COLLIER 811 SOUTH WASHINGTON AVENUE MARSHALL TX 75670 95490173 0 X http://www.gsmcmarshall.org/ X 1954 TX TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, SEX, CREED, NATIONAL ORIGIN, HADICAP, AGE, OR ABILITY TO PAY. 16 12 674 79 3617 -773 376473 0 82782782 94330339 221141 207278 871938 887312 84252334 95424929 0 0 21654432 23533238 0 16536 59871904 70964406 81526336 94497644 2725998 927285 57102195 69165766 43995599 53902991 13106596 15262775 TO 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. 0 0 73783282 94330339 GOOD 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 1909 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.RECRUITMENT OF ADDITIONAL PHYSICIANS IN THE COMMUNITIES SERVED BY THE HOSPITAL CONTINUES TO BE A HIGH PRIORITY. SPECIFIC AREAS TARGETED FOR PRIORITY IN PHYSICIAN RECRUITMENT INCLUDE: INTERNAL MEDICINE, FAMILY PRACTICE, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS, AND HOSPITALIST. TWO NEW GENERAL SURGEONS HAVE BEEN RECRUITED IN THE LAST SIX YEARS AND HAVE OPENED LOCAL PRACTICES. A BOARD CERTIFIED CARDIOLOGIST JOINED THE MEDICAL STAFF IN 2004, A BOARD CERTIFIED UROLOGIST IN 2007, A BOARD CERTIFIED FAMILY MEDICINE PHYSICIAN AND TWO BOARD CERTIFIED OB/GYNS WERE ADDED IN 2008. THE HOSPITAL HAS ALSO RECRUITED 3 NEW SPECIALISTS, ALL OF WHICH STARTED EMPLOYMENT IN 2010: AN ORTHOPEDIC SURGEON, A PULMONOLOGIST AND A GASTROENTEROLOGIST. THE HOSPITAL CONTRACTS WITH ONLY BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS, RADIOLOGISTS, AND HOSPITALISTS.RECRUITMENT EFFORTS IN THE AREA OF MID-LEVEL PRACTITIONERS ALSO CONTINUE TO BE A HIGH PRIORITY. BEING ABLE TO STAFF PHYSICIAN OFFICES AND RURAL HEALTH CLINICS WITH MID-LEVEL PRACTITIONERS ALLOWS EASIER ACCESS TO PATIENTS WITH NON-EMERGENT ROUTINE MEDICAL CONDITIONS. THIS, IN TURN, ALLOWS FOR MORE APPROPRIATE AND BENEFICIAL ACCESS TO PHYSICIANS FOR PATIENTS WITH EMERGENT CASES.SURVEY RESULTS AND COMMUNITY INTEREST HAVE SHOWN THE NEED FOR IMPROVED FACILITIES AND TECHNOLOGY IN THE HOSPITAL. FOLLOWING A CAREFUL AND INTENTIONAL LONG-RANGE PLAN, DURING THE LAST 8 YEARS EACH AREA OF PATIENT CARE HAS UNDERGONE EXTENSIVE RENOVATION AND UPGRADING. IN ONE PHASE OF CONSTRUCTION, A STATE-OF-THE-ART EMERGENCY DEPARTMENT WAS CONSTRUCTED AND AN OUTPATIENT SURGERY CENTER WAS ADDED. THE HOSPITAL ALSO NOW CONTAINS A G.I. LAB WITH DIGITAL ENDOSCOPY EQUIPMENT, & AN ACUTE REHAB FACILITY. THE OPERATING AREA WAS EXPANDED TO INCLUDE SEVEN OPERATION SUITES; THE ICU WAS ENLARGED AND UPDATED WITH NEWER TECHNOLOGY. ALL ROOMS CAN BE MONITORED CONTINUOSULY AS WELL. EVERY ROOM ON THE PATIENT CARE FLOORS HAS BEEN REFURBISHED TO ENHANCE PATIENT SATISFACTION AND THE CARE THEY RECEIVE. BEGINNING IN THE SUMMER OF 2010 THE HOSPITAL WILL OFFER ONCOLOGY, NEPHROLOGY, AND INPATIENT DIALYSIS. THE HOSPITAL OPERATES THREE PEDIATRIC RURAL HEALTH CLINCS. THESE HAVE PROVEN TO BE VERY SUCCESSFUL ENDEAVORS IN REACHING CHILDREN IN UNDERSERVED AREAS OF THE COUNTIES SERVED. LAST YEAR COMBINED, THESE THREE CLINICS BROUGHT NEEDED PEDIATRIC SERVICES TO 15,300 PATIENTS.A FAMILY HEALTH CLINIC IS LOCATED IN MARSHALL DIRECTLY BEHIND THE HOSPITAL'S EMERGENCY DEPARTMENT. STAFFED BY MID-LEVEL PRACTITIONERS, IT HELPS SERVE THE NEEDS FOR THOSE WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN AND TO OFFER HEALTHCARE FOR THE NON-EMERGENT CASES THAT ARRIVE AT THE HOSPITAL'S EMERGENCY DEPARTMENT. CURRENTLY THIS CLINIC TREATS, ON AVERAGE, 1,040 PATIENTS EACH MONTH. FOR MAXIMUM BENEFIT FOR THE PUBLIC, THE FAMILY HEALTH CLINIC IS A JOINT VENTURE WITH HARRISON COUNTY AND HOUSES THE HOSPITAL'S FAMILY CLINICS AS WELL AS THE HARRISON COUNTY HEALTH DEPARTMENT. THE COMBINING OF THESE EFFORTS AND FACILITIES AND LOCATING BOTH IN CLOSE PROXIMITY TO THE EMERGENCY DEPARTMENT HAS BEEN A VERY PRACTICAL AND BENEFICIAL STREAMLINING OF SERVICE TO OUR PUBLIC IN CARING FOR THEIR MEDICAL NEEDS.THE HOSPITAL'S EMERGENCY DEPARTMENT SAW ALMOST 27,000 PATIENTS LAST YEAR, AND OF THOSE, ALMOST 30% HAD NO FORM OF INSURANCE. SINCE MANY OF THESE PATIENTS COME TO THE EMERGENCY ROOM FOR TREATMENT OF ROUTINE MEDICAL CONDITIONS, AFTER A THOROUGH TRIAGE, MORE OF THE NON-EMERGENT CASES ARE BEING REFERRED TO THE FAMILY CLINIC. THIS PLACES THE APPROPRIATE TREATMENT IN THE APPROPRIATE SETTING AND ALLOWS THE EMERGENCY DEPARTMENT TO MORE READILY TREAT THE TRULY EMERGENT CASES AND SPEED THE CARE NEEDED.IN 2005 THE HOSPITAL OPENED A WOUND CARE CENTER. THIS HAD BEEN IDENTIFIED AS A NEED IN THE STRATEGIC PLANNING PROCESS PARTICULARLY FOR THE LARGE NUMBER OF DIABETIC AND ELDERLY PATIENTS IN OUR AREA. THIS CENTER ASSISTS THOSE WHO HAVE WOUNDS THAT ARE SLOW TO HEAL. THESE OCCUR MORE COMMONLY IN THE ELDERLY WHO HAVE, FOR EXAMPLE, DIABETES OR OTHER CONTRIBUTING CAUSES, AND THE CENTER FEATURES SUCH TREATMENT OPTIONS AS A HYPERBARIC CHAMBER. THE WOUND CARE CENTER PROVIDES LOCAL CARE AND TREATMENT FOR PROBLEMS THAT PREVIOUSLY WENT UNCARED FOR OR THAT PATIENTS HAD TO TRAVEL GREATER DISTANCES TO RECEIVE.THE HOSPITAL WILL PLAY A MAJOR ROLE IN THE WELLNESS/PREVENTION ASPECT OF HEALTH CARE FOR THE COMMUNITY IN THE COMING YEAR. IN 2009, OVER 2,000 FLU SHOTS WERE GIVEN TO LOCAL BUSINESS PARTNER EMPLOYEES AND THE COMMUNITY. DIABETIC EDUCATION CLASSES ARE CONDUCTED ON AN ONGOING BASIS, AND THE HOSPITAL'S DIABETIC EDUCATOR ATTENDS LOCAL HEALTH FAIRS AND PUBLIC EVENTS. HEALTH SCREENINGS TAKE PLACE AT THE WORK SITES FOR VARIOUS LOCAL MAJOR EMPLOYERS. IN COOPERATION WITH EMPLOYERS, THESE CLINICS HAVE PROVIDED COLLECTION OF INFORMATION OF BASIC HEALTH INDICATORS WHICH ASSIST WITH POSSIBLE EARLY DETECTION OF ILLNESS. ESPECIALLY FOR THOSE WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN, THESE WORKPLACE CLINICS HAVE ALLOWED LOCAL RESIDENTS TO DETECT CERTAIN RISK FACTORS THAT THEY DID NOT KNOW THEY EXHIBITED. IMMEDIATE INTERVENTION HAS BEEN NECESSARY FOR SOME WHICH HAS SAVED LIVES AND IMPROVED HEALTH AND WELLNESS OF LOCAL RESIDENTS AND A HEALTHIER, MORE PRODUCTIVE WORKFORCE.PLANS ARE BEING MADE BY HOSPITAL STAFF TO PROVIDE PRE-NATAL AND PARENTING CLASSES TO AT-RISK AND PREGNANT TEENAGE MOTHERS THROUGH THE SCHOOL DISTRICTS AND IN COOPERATION WITH THE LOCAL BOYS AND GIRLS CLUB.IN THE SUMMER OF 2008 THE LIFE CENTER UNDERWENT A RENOVATION PROJECT WHICH INCLUDED UPDATED LOCKER ROOMS AND SHOWER AREAS AS WELL AS ALL NEW CARDIO AND STRENGTH EQUIPMENT. THE LIFEENTER RECENTLY BEGAN A COOPERATIVE EFFORT WITH SILVER SNEAKERS, A PROGRAM DESIGNED FOR ELDERLY CITIZENS. IN ADDITION TO HEALTH AND FITNESS OPPORTUNITIES, EDUCATIONAL CLASSES FEATURING AREA PHYSICIANS AND HEALTH PROFESSIONALS ARE OFFERED TO THE COMMUNITY WHICH INCLUDE SUCH TOPICS AS: DIABETES, LIVING WITH ARTHRITIS, AND HEART HEALTHY LIVING AND DIETS.THE HOSPITAL CONTINUES TO OFFER SERVICES TO AREA CITIZENS OVER THE AGE OF 55 THROUGH ITS EXTRA STEPS PROGRAMS. THROUGH THIS PROGRAM MEMBERS HAVE ACCESS TO MONTHLY EDUCATION PROGRAMS ON TOPICS THAT ARE RELEVANT AND OF INTEREST TO SENIORS, FREE CONSULTATIONS AND ASSISTANCE WITH MEDICARE CLAIMS AND HOSPITAL BILLS, AND NUMEROUS WELLNESS OPPORTUNITIES THROUGH THE MARSHALL LIFE CENTER AT FREE OR SIGNIFICANTLY DISCOUNTED RATES. IN ADDITION THE PROGRAM ORGANIZES SOCIAL ACTIVITES THROUGHOUT THE YEAR. FUNCTIONS RANGE FROM DAY TRIPS TO NEARBY URBAN CITIES' ARTS, CULTURAL, AND RECREATIONAL OPPORTUNITIES, TO INTERNATIONAL EXCURSIONS TO EUROPE OR THE FAR EAST.HARRISON, MARION AND PANOLA COUNTIES ARE HOME TO A LARGE POPULATION WITH UNDERSERVED MEDICAL AND HEALTH CARE NEEDS. A LARGE NUMBER ARE ELDERLY AND A HIGH PERCENTAGE OF THE POPULATION LIVE BELOW THE POVERTY LEVEL, WHICH MAKES RECEIVING ADEQUATE HEALTH CARE EVEN MORE DIFFICULT TO OBTAIN. TO SERVE THE EXISTING NEEDS, THE HOSPITAL CONTINUES TO TAKE A PRO-ACTIVE APPROACH WITH RECRUITMENT OF ADDITIONAL DOCTORS, MID-LEVEL EXTENDERS, AND EXPANSION OF EXISTING HOSPITAL SERVICES.IN AN EFFORT TO BETTER SERVE THE COMMUNITY THE HOSPITAL BECAME A PART OF THE GOOD SHEPHERD HEALTH SYSTEM IN NOVEMBER OF 2007. THIS NOT ONLY ALLOWS FOR THE EXPANSION OF SERVICES PROVIDED TO THE MEMBERS OF THE COMMUNITY, BUT IT ALSO ALLOWS THE ACCESS TO THE RESOURCES OF THE GOOD SHEPHERD HEALTH SYSTEM ESPECIALLY IN THE AREA OF PHYSICIAN RECRUITMENT.GOOD SHEPHERD MEDICAL CENTER-MARSHALL ALSO PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS AS WELL AS OTHER FEDERAL, STATE AND LOCAL HEALTHCARE REIMBURSEMENT PROGRAMS FOR THOSE IN FINANCIAL NEED. THESE PROGRAMS ACCOUNT FOR MORE THAN 58 PERCENT OF THE MEDICAL CENTER'S GROSS PATIENT REVENUE.CHARITY CARE BASED ON ESTABLISHED RATES EXCEEDED $7.5 MILLION. TOTAL UNREIMBURSED CARED PROVIDED BY THE HOSPITAL REPRESENTS ALMOST 14% OF TOTAL GROSS REVENUES, AND MORE THAN $13 MILLION IN UNREIMBURSED COSTS. 73783282 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 1 55 0 1 674 1 1 1 0 0 0 0 0 0 0 0 0 0 16 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X janet andersen 9033155177 700 e marshall ave longview TX 75601 EDWARD D BANOS 1.00 X X 0 675303 24829 BUCK BIRDSONG 1.00 X 0 0 0 R BLAIR ABNEY 1.00 X 0 0 0 DAVID BATES 1.00 X 0 0 0 GLEN BICKERDIKE 1.00 X 0 0 0 BRENDA BROWN 1.00 X 0 0 0 RUSS COLLIER 40.00 X X 276594 0 1227 LEROY FISHER 1.00 X 0 0 0 DIANE JONES 1.00 X 0 0 0 GEORGE MEISENHEIMER 1.00 X 0 0 0 CHASE PALMER 1.00 X 0 0 0 DEAN SEARLE 1.00 X 0 0 0 JULIE SIMMONS 1.00 X 0 0 0 ALLEN STAGGERS 1.00 X 0 0 0 ROBERT W PALMER 1.00 X 0 0 0 JEFF BEATY 1.00 X 0 0 0 KENNETH GOOLSBY 1.00 X 0 0 0 WILLIAM SIMPSON 1.00 X 0 176136 0 O IVAN WHITE JR 1.00 X 0 0 0 PAULA BRANDON 40.00 X 160484 0 1227 GARLAND RAY DELK 40.00 X 130194 0 1211 WILLIAM CAMP 40.00 X 106317 0 1227 673589 851439 29721 4 0 1 0 MARSHALL ANESTHESIA SERVICES PO BOX 1315 MARSHALL TX 75671 PROFESSIONAL FEES 192000 BKD LLP 2800 POST OAK BLVD STE 3200 HOUSTON TX 77056 PROFESSIONAL FEES 173995 MANZIEL LAW OFFICES 8330 MEADOW ROAD SUITE 100 DALLAS TX 75231 PROFESSIONAL FEES 143166 FULBRIGHT & JAWORSKI 1301 MCKINNEY STE 5100 HOUSTON TX 77010 PROFESSIONAL FEES 133356 4 NET PATIENT REVENUES 621110 90093670 90093670 DISPRO RECEIPTS 621110 3025362 3025362 LIFE WELLNESS CENTER 624200 635204 635204 GOVERNMENT FUNDS-TRAUM 624200 63496 63496 512607 508990 3617 94330339 197952 197952 582536 65244 517292 517292 517292 9326 9326 9326 9326 CAFETERIA REVENUE 722210 350969 350969 VENDING MACHINES 722210 19051 19051 370020 95424929 94696742 3617 724570 673589 673589 18693972 13015791 5678181 529446 374223 155223 2237277 1581352 655925 1398954 988809 410145 556603 417452 139151 342121 7116 335005 474305 474305 16645634 12918639 3725251 1744 27785 5633 20998 1154 864482 449018 406099 9365 453035 453035 952447 693742 258556 149 112141 87545 23998 598 5795256 5795256 3565328 2673996 891332 429673 322255 107418 BAD DEBT 33297251 33297251 MEDICAL SUPPLIES AND EQ 6067447 5626084 441363 DIETARY EXPENSES 813569 243691 567442 2436 PLANT OPERATIONS AND MA 381783 286337 95446 HOUSEKEEPING 121912 91434 30478 63634 29325 33219 1090 94497644 73783282 20697826 16536 7514268 15895328 7880177 9166313 818882 681416 657137 724349 73943007 47601697 28209860 26341310 651035 808295 515486 1478774 10855350 14069981 57102195 69165766 5854522 7093704 85334 42667 31515000 43387497 1777342 2358617 4763401 1020506 43995599 53902991 X 12568715 14567634 537881 695141 13106596 15262775 57102195 69165766 X 0 1 1 X 0 X 0 0 0 0 0 1 1057 0 0 0 1057 0 602390 602390 69866104 44718759 25147345 94263 74828 19435 2991649 2507053 484596 388601 301057 87544 26341310 HEALTH INSURANCE AND RENT 27712 INTERCOMPANY 14042269 14069981 intercompany payables 962756 bond interest payable 57750 1020506 95424929 94497644 927285 86272 1142622 1228894 2156179 90059896 65244 65244 89994652 5430277 5430277 95424929 90917940 65244 65244 90852696 3644948 3644948 94497644 Part X: Description of Uncertain Tax Positions Under FIN 48: 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 2007. PART XI LINE 8 IMPAIRMENT LOSS -1,298,195 LOSS ON REFUNDING OF DEBT -487,134 CHANGE IN FAIR VALUE OF SWAP 2,750,698 CHANGE IN INTEREST IN THE FOUNDATION 161,905 CONTRIBUTIONS 20,000 OTHER CHANGE -4,652 PART XII LINE 2D RENTAL EXPENSES 65,244 PART XII LINE 4B IMPAIRMENT LOSS 1.298,195 LOSS ON REFUNDING DEBT 487,134 CHANGE IN FAIR VALUE OF SWAP 3,644,948 PART XIII LINE 2D RENTAL EXPENSE 65,244 PART XIII LINE 4B INTEREST SWAP 3,644,948 1 1 1 X 125.000000000000 1 X 225.000000000000 1 1 1 0 1 1 2014412 2014412 0.02130 8887318 9636219 -748901 0.00000 555948 540550 15398 0.00020 11457678 10176769 1280909 0.02150 140670 140670 0.00150 311284 311284 0.00330 14285 14285 0.00020 466239 466239 0.00500 11923917 10176769 1747148 0.02650 0 8519803 17404698 19828766 -2424068 X 1 1 LHC GROUP INC HOME HEALTH CARE IN MARSHALL 0.33330 HARRISON COUNTY HOSPITAL ASSOCIATION MAR

811 SOUTH WASHINGTON ST MARSHALL TX 75670

X X X Part III, Line 4: PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS AND OTHERS FOR SERVICES RENDERED. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHICH IS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. PATIENTS ACCOUNT RECEIVABLES ARE ORDINARILY DUE 30 DAYS AFTER THE ISSUANCE OF THE BILL. BALANCES PAST DUE MORE THAN 120 DAYS ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR THIRD-PARTY PAYER.LINE 2 IS BAD DEBT FROM OUR AUDITED FINANCIAL STATEMENTS MULTIPLIED BY THE COMPUTED COST TO CHARGE RATIO (24.31%). WE DID NOT INCLUDE ANY BAD DEBT AMOUNTS IN COMMUNITY BENEFITS. Part III, Line 8: SOURCE OF INFORMATION ON LINE 6 IS FYE 09/30/10 MEDICARE COST REPORT. THE SUM OF MEDICARE PART A ALLOWABLE COSTS REPORTED ON WORKSHEET D-1, PART II (FOR BOTH INPATIENT ACUTE PPS AND REHAB FACILITY) AND WORKSHEET DV, COLUMN 9.01 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.MEDICARE ALLOWABLE COSTS WERE DERIVED FROM FYE 9/30/2010 FILED COST REPORT. THE COST REPORT USES FINANCIAL AND STATISTICAL DATA TO DEVELOP PER DIEMS, VISITS AND COST TO CHARGE RATIOS THAT ULTIMATELY DETERMINE ALLOWABLE MEDICARE INPATIENT AND OUTPATIENT COSTS AND REIMBURSEMENTS. 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, AVAILIBILITY 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 INDENTIFIED 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. BASED ON THE 2009 ESTIMATED CENSUS THERE IS A POPULATION OF 64,795 WITH THE FOLLOWING DISTRIBUTION OF AGE BASED ON 2008 NUMBERS: 6.8% UNDER 5 YEARS OF AGE, 24.3% UNDER AGE 18 AND 12.9% OVER THE AGE OF 65. THE 2008 ETHNICITY DISTRIBUTION OF HARRISON COUNTY IS AS FOLLOWS: 75% OF THE POPULATION IS WHITE, 22.4% IS BLACK, 8.8% HISPANIC OR LATINO, WHITE, NOT, HISPANIC IS 67.1% AND THE REMAINDERS ARE AMERICAN INDIAN, ASIAN, NATIVE HAWAIIAN/PACIFIC ISLANDER OR MORE THAN TWO RACES. THE AVERAGE HOUSEHOLD INCOME IN HARRISON COUNTY IN 2008 WAS $45,016. 14.8% OF POPULATION WAS BELOW THE POVERTY LEVEL IN 2008. MARION COUNTY IS DUE NORTH OF HARRISON COUNTY WITH JEFFERSON, TEXAS AS THE COUNTY SEAT. THE POPULATION OF MARION COUNTY IS ESTIMATED IN 2009 TO BE 10,396. ACCORDING TO THE 2008 STATISTICS, 4.8% OF THE POPULATION IS UNDER THE AGE OF 5 YEARS OLD, 19.4% UNDER THE AGE OF 18 AND 22.3% OVER THE AGE OF 65 YEARS OF AGE. THE 2008 ETHNICITY DISTRIBUTION OF MARION COUNTY IS WHITE 75.7%, BLACK 21.3%, 3.2% IS HISPANIC OR LATINO, WHITE, NOT HISPANIC IS 72.9% AND THE REMAINDER ARE AMERICAN INDIAN, ASIAN, NATIVE HAWAIIAN/PACIFIC ISLANDER OR MORE THAN TWO RACES. THE AVERAGE HOUSEHOLD INCOME IN 2008 WAS $31,510 WITH 21.6% BELOW POVERTY LEVEL. PANOLA COUNTY IS DUE SOUTH OF HARRISON COUNTY WITH CARTHAGE AS THE COUNTY SEAT. THE POPULATION OF PANOLA COUNTY IS 23,310 BASED ON THE 2009 ESTIMATES. ACCORDING TO THE 2008 STATISTICS, 6.6% ARE UNDER THE AGE OF 5 YEARS OF AGE, 23.2% ARE UNDER THE AGE OF 18 AND 15.7% ARE OVER 65 YEARS OF AGE. THE 2008 ETHNICITY DISTRIBUTION OF PANOLA COUNTY IS 80.4% WHITE, 17.8% BLACK, 6.1% HISPANIC OR LATINO, 74.5% ARE WHITE PERSONS NOT HISPANIC AND THE REMAINDERS ARE AMERICAN INDIAN, ASIAN, NATIVE HAWAIIAN/PACIFIC ISLANDER OR MORE THAN TWO RACES. THE AVERAGE HOUSEHOLD INCOME IN 2008 WAS $42,917 WITH 13.9% BELOW POVERTY LEVEL. 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. MANAGEMENT AND SOCIAL SERVICES PROGRAM OFFERS 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 PROGRAM WE HAVE PROVIDED TO OUR COMMUNITY. Part VI, Line 6: WE HAVE AN OPEN MEDICAL STAFF AND OUR ORGANIZATION HAS WORKED COLLABORATIVELY WITH OUR MEDICAL STAFF TO DILIGENTLY RECRUIT PRIMARY CARE AND SPECIALTY CARE PHYSICIANS TO MEET THE NEEDS OF OUR UNDERSERVED CATCHMENT AREA. IN PAST YEARS, WE HAVE RECRUITED THREE PRIMARY CARE PHYSICIANS, A PULMONOLOGIST, A NEUROLOGIST, A NEUROSURGEON, AN ORTHOPEDIST, AN ONCOLOGY GROUP, AS WELL AS A NEPHROLOGY GROUP, AND A HOSPITALIST GROUP TO SERVE OUR COMMUNITY AND PATIENT POPULATION. WE ALSO HAVE SEVERAL RURAL HEALTH CLINICS SERVING PEDIATRIC AND ADULT POPULATIONS WHO ARE PROVIDING CARE ON A SLIDING SCALE, BASED ON INCOME. WE WORK CLOSELY WITH THE LOCAL DEPARTMENT OF HEALTH PROVIDING LOCAL MANAGEMENT AND PHYSICIAN SUPPORT. WE HAVE A COMMUNITY BOARD THAT LIVE AND WORK IN THE AREA. THEY ASSISTS US IN IDENTIFYING AND MEETING THE NEEDS OF THE COMMUNITY. THE BOARD IS VERY INVOLVED IN DETERMINING THE STRATEGIC PLANS AND INITIATIVES OF THIS COMMUNITY AND THEY ARE COMMITTED TO THE WELLNESS OF THIS COMMUNITY BY SUPPORTING AND CONSTRUCTING THE WELLNESS CENTER 13 YEARS AGO. Part VI, Line 7: WE ARE A PART OF GOOD SHEPHERD HEALTH SYSTEMS WHICH HAS ALLOWED US TO BETTER OUTREACH AND SERVE OUR CATCHMENT AREA. ONE OF THE AFFILIATED HOSPITALS IN OUR SYSTEMS IS A CRITICAL ACCESS HOSPITAL LOCATED IN LINDEN, TEXAS WHICH IS THE COUNTY SEAT OF CASS COUNTY AND MEDICALLY SERVES THE NORTHERN PART OF MARION COUNTY AND CASS COUNTY. THE AREA IS QUITE REMOTE AND RURAL. IT IS ALSO DIFFICULT TO RECRUIT PHYSICIANS TO THIS COMMUNITY AND AREA. SINCE OUR AFFILIATION, SEVERAL OF OUR PHYSICIANS PROVIDE OUTPATIENT CLINICS AND PERFORM SERVICES/PROCEDURES OR ACCEPT TRANSFERS TO RENDER COMPREHENSIVE CARE TO THE NORTHERN PART OF MARION COUNTY AND CASS COUNTY POPULATION. X X 0 0 0 0 0 0 0 0 0 EDWARD D BANOS 0 472803 0 202500 0 0 0 16500 0 8329 0 700132 0 0 RUSS COLLIER 276594 0 0 0 0 0 0 0 1227 0 277821 0 0 0 WILLIAM SIMPSON 0 176136 0 0 0 0 0 0 0 0 0 176136 0 0 PAULA BRANDON 160484 0 0 0 0 0 0 0 1227 0 161711 0 0 0 Supplemental Information Part III EDWARD D BANOS 40 HOURS RELATED ORGANIZATION HARRISON COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION 752740093 415221AW0 2010-09-22 43980049 REFUND ESCROWS, CAPITAL PROJECTS AND IMPROVEMENTS 0 0 43980049 3077293 31258866 879601 1 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 DEBORAH BATES DIR-BATES IS SPOUSE 42335 SALARIES/WAGES 0 MINDI COLLIER DIR-COLLIER IS FAMILY 19677 SALARIES/WAGES 0 Form 990, Part VI, Section A, line 6 GOOD SHEPHERD HEALTH SYSTEM, INC. IS THE SOLE MEMBER. Form 990, Part VI, Section A, line 7a AS THE SOLE MEMBER, GOOD SHEPHERD HEALTH SYSTEM, 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 7b A 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 11 THE ORGANIZATION HAS AN EXTERNAL ACCOUNTING FIRM AUDIT ON A CONSOLIATED 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. THE RETURNS ARE SENT TO THE BOARD FOR FINAL APPROVAL BEFORE FILING. Form 990, Part VI, Section B, line 12c DISCLOSURES 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 15 A COMPENSATION SUBCOMMITTEE OF THE BOARD NEGOTIATES CONTRACTS WITH EXECUTIVES THROUGH HAY GROUP. THIS SUBCOMMITTEE OF THE BOARD REVIEWS AND APPROVES 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. AN EXTERNAL AUDIT FIRM AUDITS THE FINANCIALS ON A CONSOLIDATED METHOD. AN INTERNAL ACCOUNTING COMMITTEE PREPARES ITEMS TO SUBMIT TO THE EXTERNAL AUDIT FIRM. AN INTERNAL ACCOUNTING COMMITTEE AND THE BOARD REVIEWS THE AUDIT. GOOD SHEPHERD HEALTH SYSTEM INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027157 SUPPORT GSMC TX 501(c)(3) Line 11b, II N/A MARSHALL HEALTH SERVICES INC 811 SOUTH WASHINGTON AVE MARSHALL TX 75670 752580686 HEALTHCARE TX 501(c)(3) Line 3 N/A MARSHALL HOSPITAL FOUNDATION INC 811 SOUTH WASHINGTON AVE MARSHALL TX 75670 752605699 SUPPORT TX 501(c)(3) Line 7 N/A GOOD SHEPHERD MEDICAL CENTER 700 E MARSHALL AVE LONGVIEW TX 75601 751041154 HEALTHCARE TX 501(c)(3) Line 3 N/A GSHS ADMINISTRATIVE SERVICES ORG INC 700 E MARSHALL AVE LONGVIEW TX 75601 861132471 ADMIN SUPPORT TX 501(c)(3) Line 11a, I N/A GOOD SHEPHERD MEDICAL CENTER - LINDEN 404 N KAUFMAN STREET LINDEN TX 75563 010829282 HEALTHCARE TX 501(c)(3) Line 3 N/A GSMC - LINDEN FOUNDATION INC 404 N KAUFMAN STREET LINDEN TX 75563 200845127 SUPPORT TX 501(c)(3) Line 11a, I N/A GOOD SHEPHERD HOSPITAL AUXILIARY 700 E MARSHALL AVE LONGVIEW TX 75601 237203364 SUPPORT TX 501(c)(3) Line 9 N/A GOOD SHEPHERD FOUNDATION INC 700 E MARSHALL AVE LONGVIEW TX 75601 752056700 SUPPORT TX 501(c)(3) Line 11a, I N/A GOOD SHEPHERD AMBULATORY SURGICAL 700 E MARSHALL AVE LONGVIEW TX 75601 SURGERY TX N/A RELATED 0 0 GSHS ENTERPRISES INC 700 E MARSHALL AVE LONGVIEW TX 75601 752027162 HEALTHCARE TX N/A C GOOD SHEPHERD HEALTH NETWORK 700 E MARSHALL AVE LONGVIEW TX 75601 752554695 INACTIVE TX N/A C NORTHEAST TEXAS PHYSICIAN SE 700 E MARSHALL AVE LONGVIEW TX 75601 752712245 MGMT SERVICES TX N/A C GS PHYSICIAN SERVICE INC 700 E MARSHALL AVE LONGVIEW TX 75601 752762417 MEDICAL SERVICES TX N/A C GSHS ENTERPRISES HOLDING INC 700 E MARSHALL AVE LONGVIEW TX 75601 510412465 HOLDING COMPANY TX N/A C GSHS ENTERPRISES OPERATING 1 700 E MARSHALL AVE LONGVIEW TX 75601 752954772 HEALTHCARE TX N/A C GSHS ENTERPRISES OPERATING 2 700 E MARSHALL AVE LONGVIEW TX 75601 752954777 HEALTHCARE TX N/A C GSHS ENTERPRISES OPERATING 3 700 E MARSHALL AVE LONGVIEW TX 75601 710896512 HEALTHCARE TX N/A C GSHS MEDICAL PLAZA LTD 700 E MARSHALL AVE LONGVIEW TX 75601 752955157 HEALTHCARE TX N/A C GSHS MEDICAL PLAZA III LTD 700 E MARSHALL AVE LONGVIEW TX 75601 731654263 HEALTHCARE TX N/A C 0 0 1 1 0 0 0 0 1 0 0 1 0 1 1 1 1 0 MARSHALL HEALTH SERVICES D 3210000 MARSHALL HEALTH SERVICES L 648676 GOOD SHEPHERD MEDICAL CENTER N 65907 MARSHALL HEALTH SERVICES P 531123 MARSHALL HEALTH SERVICES O 288817 MARSHALL HEALTH SERVICES P 324430