GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC (EIN 86-1132471)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-15
- IRS object ID
- 201722279349304107
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-15T21:11:03-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PARKWAY SUITE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861132471 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GSHS Administrative Services Organization | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % NIKKI BENOIT | InCareOfNm |
| Business Name Control | GSHS | BusinessNameControlTxt |
| Phone | 9033152000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E Marshall Ave | AddressLine1Txt |
| City | Longview | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL CHEEK | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9033152000 | PhoneNum |
| Signature | 2017-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 9727028262 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL CHEEK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E MARSHALL AVE | AddressLine1Txt |
| City | LONGVIEW | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $61,735,652 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES ADMINISTRATIVE, MANAGERIAL, AND SUPPORT SERVICES FOR RELATED ENTITIES THAT PROVIDE HEALTHCARE SERVICES AND SERVICES RELATED THERE TO AS A (SEE SCHEDULE O)... | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 401 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $70,672 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$10,775 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $55,502,943 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $61,728,192 | CYProgramServiceRevenueAmt |
| PY Investment Income | $49,604 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,695 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $55,552,547 | PYTotalRevenueAmt |
| CY Total Revenue | $61,726,497 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,665,382 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,040,808 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $33,380,165 | PYOtherExpensesAmt |
| CY Other Expenses | $41,683,144 | CYOtherExpensesAmt |
| PY Total Expenses | $56,045,547 | PYTotalExpensesAmt |
| CY Total Expenses | $61,723,952 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$493,000 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,545 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,623,683 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,894,288 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,757,903 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,063,314 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,865,780 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,830,974 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDES ADMINISTRATIVE, MANAGERIAL, AND SUPPORT SERVICES FOR RELATED ENTITIES THAT PROVIDE HEALTHCARE SERVICES AND SERVICES RELATED THERE TO AS A BENEVOLENT, CHARITABLE, AND EDUCATIONAL INSTITUTION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $56,299,225 | ExpenseAmt |
| Revenue | $61,657,520 | RevenueAmt |
| Desc | GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. (ASO) IS A NON-FOR-PROFIT TAX-EXEMPT CORPORATION FORMED IN 2005 TO PROVIDE ADMINISTRATIVE AND OTHER SERVICES TO VARIOUS ENTITIES WITHIN THE GOOD SHEPHERD HEALTH SYSTEM (GSHS). 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, INC. 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. ASO's ACTIVITIES INCLUDE ADVOCACY, POLICY DEVELOPMENT, EDUCATION AND RESEARCH. WE WORK IN PARTNERSHIP WITH THE GSMC HEALTH NETWORKS ON A WIDE VARIETY OF ISSUES. ASO PROVIDEs EDUCATIONAL AND RESEARCH SERVICES. GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. PROVIDES SERVICES TO TWO HOSPITALS, GOOD SHEPHERD MEDICAL CENTER, AND GOOD SHEPHERD MEDICAL CENTER-MARSHALL. THESE TWO 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, MARION AND HARRISON COUNTIES, RESPECTIVELY. GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. EXISTS FOR THE SOLE PURPOSE OF SUPPORTING OTHER NOT-FOR-PROFIT 501(C)(3) ORGANIZATIONS. | Desc |
| Total Program Service Expenses | $56,299,225 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 121 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 401 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NIKKI BENOIT | PersonNm |
| Phone | 9033155177 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E MARSHALL AVE | AddressLine1Txt |
| City | LONGVIEW | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MARK BOON | ||||||||||
| FINANCE & VICE CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| STEVE ALTMILLER | ||||||||||
| PRESIDENT - CEO | 40.0 | 11.0 | Yes (X) | Yes (X) | $0 | $650,200 | $87,557 | |||
| BILL HUFFMAN | ||||||||||
| CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KENNETH CUNNINGHAM | ||||||||||
| SR VP - SECRETARY | 40.0 | 4.0 | Yes (X) | $383,969 | $0 | $53,690 | ||||
| TIM PILEGGI | ||||||||||
| INTERIM CFO | 40.0 | 11.0 | Yes (X) | $583,683 | $0 | $0 | ||||
| RON SHORT | ||||||||||
| EVP - CHIEF ADMIN OFFICER | 40.0 | 2.0 | $278,937 | $0 | $41,545 | Yes (X) | ||||
| RAY DELK | ||||||||||
| EVP - OPERATIONS | 40.0 | 2.0 | $231,767 | $0 | $37,289 | Yes (X) | ||||
| GINGER MORROW | ||||||||||
| VP - HUMAN RESOURCES | 40.0 | 2.0 | $202,306 | $0 | $38,635 | Yes (X) | ||||
| KRISTINE GLOVER | ||||||||||
| GSMA EVP/COO | 40.0 | 1.0 | $272,625 | $0 | $51,234 | Yes (X) | ||||
| CHRIS BLAKEMORE | ||||||||||
| CHIEF INFORMATION OFFICER | 40.0 | 0.0 | $212,851 | $0 | $30,821 | Yes (X) | ||||
| Larry VERFURTH | ||||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 2.0 | $337,678 | $0 | $43,472 | Yes (X) | ||||
| CHERYL HERBERT | ||||||||||
| EXEC DIR INFECTION PREVENTION | 40.0 | 0.0 | $134,653 | $0 | $9,449 | Yes (X) | ||||
| Patricia S Bennett | ||||||||||
| Chief Nursing Officer | 40.0 | 0.0 | $210,605 | $0 | $23,914 | Yes (X) | ||||
| MISTY SPROUSE | ||||||||||
| DIR COMPENSATION AND BENEFITS | 40.0 | 0.0 | $117,190 | $0 | $11,399 | Yes (X) | ||||
| Janet Andersen | ||||||||||
| Controller | 40.0 | 0.0 | $145,508 | $0 | $4,955 | Yes (X) | ||||
| RODNEY BANDY | ||||||||||
| CHIEF INFORMATION OFFICER-GSMA | 40.0 | 0.0 | $171,934 | $0 | $27,266 | Yes (X) | ||||
| CHRIS COLLIER | ||||||||||
| former - ASSISTANT CFO | 40.0 | 0.0 | $193,708 | $0 | $23,914 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,477,414 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $650,200 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $485,140 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FTI CONSULTING INC | |||||
| 909 COMMERCE ROAD | ANNAPOLIS | MD | 21401 | FINANCIAL CONSULTING | $4,342,477 |
| ARAMARK HEALTHCARE | |||||
| 12483 COLLECTION CNT DR | CHICAGO | IL | 60607 | MEDICAL SERVICES | $3,467,251 |
| JACOBUS CONSULTING INC | |||||
| 15375 BARRANCA PKWY STE B-202 | IRVINE | CA | 92618 | PATIENT FIN SERVICES | $2,485,701 |
| THE GREELEY COMPANY | |||||
| PO BOX 3049 | PEABODY | MA | 01961 | HOSP REGULATORY SERV | $637,502 |
| Mosby Mechanical Contractors Inc | |||||
| 507 S Eastman Rd | LONGVIEW | TX | 75602 | contractor services | $529,158 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Management Services | Desc |
| Business | 541610 | BusinessCd |
| Total Revenue Column | $61,728,192 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $61,657,520 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $70,672 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $61,728,192 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,460 | TotalRevenueColumnAmt |
| Exclusion | $7,460 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,155 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$9,155 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,155 | TotalRevenueColumnAmt |
| Exclusion | -$9,155 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,726,497 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $61,657,520 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $70,672 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,695 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,664,502 | TotalAmt |
| Program Services | $2,664,502 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,622 | TotalAmt |
| Program Services | $217,622 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,391,281 | TotalAmt |
| Program Services | $11,977,286 | ProgramServicesAmt |
| Management And General | $1,413,995 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,061 | TotalAmt |
| Program Services | $264,696 | ProgramServicesAmt |
| Management And General | $31,365 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,293,168 | TotalAmt |
| Program Services | $2,080,749 | ProgramServicesAmt |
| Management And General | $212,419 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,178,174 | TotalAmt |
| Program Services | $1,074,628 | ProgramServicesAmt |
| Management And General | $103,546 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,760,004 | TotalAmt |
| Program Services | $13,462,793 | ProgramServicesAmt |
| Management And General | $1,297,211 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,717,441 | TotalAmt |
| Program Services | $1,566,500 | ProgramServicesAmt |
| Management And General | $150,941 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,754,662 | TotalAmt |
| Program Services | $1,600,450 | ProgramServicesAmt |
| Management And General | $154,212 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,897,403 | TotalAmt |
| Program Services | $7,203,325 | ProgramServicesAmt |
| Management And General | $694,078 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,580 | TotalAmt |
| Program Services | $1,441 | ProgramServicesAmt |
| Management And General | $139 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,167,981 | TotalAmt |
| Program Services | $1,065,331 | ProgramServicesAmt |
| Management And General | $102,650 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,318,016 | TotalAmt |
| Program Services | $4,850,632 | ProgramServicesAmt |
| Management And General | $467,384 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,053,425 | TotalAmt |
| Program Services | $960,843 | ProgramServicesAmt |
| Management And General | $92,582 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,891 | TotalAmt |
| Program Services | $101,145 | ProgramServicesAmt |
| Management And General | $9,746 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,563 | TotalAmt |
| Program Services | $78,043 | ProgramServicesAmt |
| Management And General | $7,520 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,369,491 | TotalAmt |
| Program Services | $2,161,244 | ProgramServicesAmt |
| Management And General | $208,247 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Equipment Rentals | $838,656 | $764,949 | $73,707 |
| Dues & Subscriptions | $332,448 | $303,230 | $29,218 |
| Maintenance & Repairs | $4,021,026 | $3,667,631 | $353,395 |
| . | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,557 | TotalAmt |
| Program Services | $232,185 | ProgramServicesAmt |
| Management And General | $22,372 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,723,952 | TotalAmt |
| Program Services | $56,299,225 | ProgramServicesAmt |
| Management And General | $5,424,727 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | -$740,431 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $472,598 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,811 | BOYAmt |
| EOY | $106,240 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,500 | BOYAmt |
| EOY | $49,017 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,704,044 | BOYAmt |
| EOY | $1,706,086 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $31,489,492 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,670,047 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,648,523 | BOYAmt |
| EOY | $9,819,445 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,812,805 | BOYAmt |
| EOY | $10,481,333 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,623,683 | BOYAmt |
| EOY | $21,894,288 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,238,742 | BOYAmt |
| EOY | $13,292,755 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,249 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$506,088 | BOYAmt |
| EOY | $1,770,559 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,757,903 | BOYAmt |
| EOY | $15,063,314 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,865,780 | BOYAmt |
| EOY | $6,830,974 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,865,780 | BOYAmt |
| EOY | $6,830,974 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,623,683 | BOYAmt |
| EOY | $21,894,288 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,545 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,384 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$8,039,735 | PriorPeriodAdjustmentsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 2 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| THE GOOD SHEPHERD HOSPITAL INC | ||||
| 751041154 | 3 | Yes (true) | $49,328,818 | $0 |
| HARRISON COUNTY HOSPITAL ASSOCIATION | ||||
| 750974351 | 3 | Yes (true) | $6,970,407 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Support Sum | $56,299,225 | SupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (true) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,825 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,940 | DepreciationAmt |
| Book Value | $885 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,432,917 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,666,107 | DepreciationAmt |
| Book Value | $9,766,810 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,750 | OtherCostOrOtherBasisAmt |
| Book Value | $51,750 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,819,445 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM AFFILIATES | Desc |
| Book Value | $10,481,333 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,481,333 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $1,770,559 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,770,559 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVE ALTMILLER | ||||||||||||
| PRESIDENT - CEO | $0 | $650,200 | $0 | $0 | $0 | $0 | $0 | $75,600 | $0 | $11,957 | $0 | $737,757 |
| KENNETH CUNNINGHAM | ||||||||||||
| SR VP - SECRETARY | $353,969 | $0 | $30,000 | $0 | $0 | $0 | $36,100 | $0 | $17,590 | $0 | $437,659 | $0 |
| TIM PILEGGI | ||||||||||||
| INTERIM CFO | $583,683 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $583,683 | $0 |
| Patricia S Bennett | ||||||||||||
| Chief Nursing Officer | $210,605 | $0 | $0 | $0 | $0 | $0 | $8,091 | $0 | $15,823 | $0 | $234,519 | $0 |
| Janet Andersen | ||||||||||||
| Controller | $145,508 | $0 | $0 | $0 | $0 | $0 | $4,494 | $0 | $461 | $0 | $150,463 | $0 |
| RODNEY BANDY | ||||||||||||
| CHIEF INFORMATION OFFICER-GSMA | $171,934 | $0 | $0 | $0 | $0 | $0 | $11,292 | $0 | $15,974 | $0 | $199,200 | $0 |
| RON SHORT | ||||||||||||
| EVP - CHIEF ADMIN OFFICER | $278,937 | $0 | $0 | $0 | $0 | $0 | $30,050 | $0 | $11,495 | $0 | $320,482 | $0 |
| RAY DELK | ||||||||||||
| EVP - OPERATIONS | $231,767 | $0 | $0 | $0 | $0 | $0 | $23,735 | $0 | $13,554 | $0 | $269,056 | $0 |
| GINGER MORROW | ||||||||||||
| VP - HUMAN RESOURCES | $202,306 | $0 | $0 | $0 | $0 | $0 | $21,051 | $0 | $17,584 | $0 | $240,941 | $0 |
| CHRIS COLLIER | ||||||||||||
| former - ASSISTANT CFO | $193,708 | $0 | $0 | $0 | $0 | $0 | $8,091 | $0 | $15,823 | $0 | $217,622 | $0 |
| KRISTINE GLOVER | ||||||||||||
| GSMA EVP/COO | $272,625 | $0 | $0 | $0 | $0 | $0 | $33,644 | $0 | $17,590 | $0 | $323,859 | $0 |
| CHRIS BLAKEMORE | ||||||||||||
| CHIEF INFORMATION OFFICER | $212,851 | $0 | $0 | $0 | $0 | $0 | $18,261 | $0 | $12,560 | $0 | $243,672 | $0 |
| Larry VERFURTH | ||||||||||||
| CHIEF MEDICAL OFFICER | $337,678 | $0 | $0 | $0 | $0 | $0 | $25,882 | $0 | $17,590 | $0 | $381,150 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | A COMPENSATION SUBCOMMITTEE OF THE BOARD NEGOTIATES CONTRACTS WITH EXECUTIVES THROUGH LONGNECKER & ASSOCIATES. THIS SUBCOMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION AND BONUSES. |
| SCHEDULE J, PART I, LINE 4B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN 457(F): INDIVIDUALS: PAYMENT IN W-2: DEFERRED COMPENSATION: STEVE ALTMILLER NONE $ 65,000 RODNEY BANDY NONE $ 9,000 CHRIS BLAKEMORE NONE $ 14,999 KENNETH CUNNINGHAM NONE $ 25,500 RAY DELK NONE $ 14,375 KRISTINE GLOVER NONE $ 23,044 GINGER MORROW NONE $ 12,750 RON SHORT NONE $ 22,450 LAWRENCE T VERFURTH NONE $ 25,882 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS: THE SOLE MEMBER OF THE ORGANIZATION IS GSHS INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS WITH POWER TO ELECT OR APPOINT BOARD MEMBERS: AS THE SOLE MEMBER, GSHS, INC. HAS THE POWER TO APPROVE MEMBERS TO THE ORGANIZATION'S BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | GOVERNANCE DECISIONS RESERVED FOR THE MEMBER: A 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 11B | PROCESS TO REVIEW FORM 990: THE ORGANIZATION HAS AN EXTERNAL ACCOUNTING FIRM AUDIT ON A CONSOLIDATED BASIS. THE 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM. THE RETURN IS THEN REVIEWED BY INTERNAL ACCOUNTANTS AND EXECUTIVES. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: DISCLOSURES 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, LINES 15A & 15B | PROCESS TO REVIEW COMPENSATION: A COMPENSATION SUBCOMMITTEE OF THE BOARD NEGOTIATES CONTRACTS WITH EXECUTIVES THROUGH LONGNECKER & ASSOCIATES. THIS SUBCOMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION AND BONUSES ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF DOCUMENTS: THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART I, LINE 1 | DESCRIPTION OF THE ORGANIZATION'S MISSION: (CONTINUED FROM PAGE 1)... BENEVOLENT, CHARITABLE, AND EDUCATIONAL INSTITUTION. |
| FORM 990, PART IV, LINE 12 & PART XII, LINE 2 | AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION HAS ANSWERED "NO" TO THE QUESTIONS REGARDING AN AUDIT IN PART IV, LINE 12 AND PART XII. THE ORGANIZATION ONLY RECEIVED AN AUDIT OF ITS BALANCE SHEET FOR THE YEAR ENDED SEPTEMBER 30, 2016. THEREFORE, SINCE THE ORGANIZATION DID NOT HAVE AN AUDITED INCOME STATEMENT FOR THE PERIOD COVERED BY THIS RETURN, THE ORGANIZATION DOES NOT HAVE AUDITED FINANCIAL STATEMENTS ACCORDING TO THE IRS INSTRUCTIONS. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:3179216 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ENGINEERING TOTAL FEES:3192637 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:565594 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:165661 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:INFORMATION SERVICES TOTAL FEES:210324 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL REC. SERVICES TOTAL FEES:583971 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GOOD SHEPHERD MEDICAL CENTER - LINDEN | ||||||||||
| 404 N KAUFMAN ST | LINDEN | TX | 75563 | 010829282 | HEALTHCARE | TX | 501(C)(3) | 3 | GSHS INC | Yes (true) |
| GSHS INC | ||||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752027157 | SUPPORT GSMC | TX | 501(C)(3) | 11, TYPE II | NA | false |
| HARRISON COUNTY HOSPITAL ASSOCIATION | ||||||||||
| 811 SOUTH WASHINGTON AVE | MARSHALL | TX | 75670 | 750974351 | HEALTHCARE | TX | 501(C)(3) | 3 | GSHS INC | Yes (true) |
| THE GOOD SHEPHERD HOSPITAL INC | ||||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 751041154 | HEALTHCARE | TX | 501(C)(3) | 3 | GSHS INC | Yes (true) |
| GSMC - LINDEN FOUNDATION INC | ||||||||||
| 404 N KAUFMAN ST | LINDEN | TX | 75563 | 200845127 | SUPPORT | TX | 501(C)(3) | 11, TYPE I | GSMC LINDEN | Yes (true) |
| GOOD SHEPHERD FOUNDATION INC | ||||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752056700 | SUPPORT | TX | 501(C)(3) | 11, TYPE I | GSHS INC | Yes (true) |
| MARSHALL HOSPITAL FOUNDATION INC | ||||||||||
| 811 SOUTH WASHINGTON AVE | MARSHALL | TX | 75670 | 752605699 | HEALTHCARE | TX | 501(C)(3) | 7 | GSMC Marsh | Yes (true) |
| MARSHALL HEALTH SERVICES INC | ||||||||||
| 811 SOUTH WASHINGTON AVE | MARSHALL | TX | 75670 | 752580686 | HEALTHCARE | TX | 501(C)(3) | 3 | GSMC Marsh | Yes (true) |
| GOOD SHEPHERD HOSPITAL AUXILIARY | ||||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 237203364 | SUPPORT | TX | 501(C)(3) | 9 | GSMC | Yes (true) |
| SERVICE ORGANIZATION GOOD SHEPHERD | ||||||||||
| 2950 50TH ST | LUBBOCK | TX | 79413 | 383914883 | SUPPORT | TX | 501(C)(3) | 11, TYPE I | NA | false |
| MEMORIAL HOSPITAL AUXILIARY | ||||||||||
| 811 S WASHINGTON AVE | MARSHALL | TX | 75670 | 510151805 | SUPPORT | TX | 501(C)(3) | 3 | GSMC MARSH | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD AMBULATORY SURGICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E MARSHALL AVE | AddressLine1Txt |
| City | LONGVIEW | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900259782 | EIN |
| Primary Activities | SURGERY | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| GSHS ENTERPRISES INC | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752027162 | HEALTHCARE | TX | GSHS INC | C CORP | Yes (true) |
| GOOD SHEPHERD HEALTH NETWORK | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752554695 | INACTIVE | TX | THE GOOD SHEPHE | C CORP | Yes (true) |
| NORTHEAST TEXAS PHYSICIAN SERVICES | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752712245 | MGMT SERVICES | TX | GSHS ENTERPRISE | C CORP | Yes (true) |
| GS PHYSICIAN SERVICES INC | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752762417 | MEDICAL SERVICES | TX | GSHS ENTERPRISE | C CORP | Yes (true) |
| GSHS ENTERPRISES HOLDING INC | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 510412465 | HOLDING COMPANY | DE | GSHS ENTERPRISE | C CORP | Yes (true) |
| GSHS ENTERPRISES OPERATING 1 | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752954772 | HEALTHCARE | DE | GSHS ENTERPRISE | C CORP | Yes (true) |
| GSHS ENTERPRISES OPERATING 2 | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752954777 | HEALTHCARE | DE | GSHS ENTERPRISE | C CORP | Yes (true) |
| MARSHALL PHYSICIAN HOSPITAL ORGANIZATION | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752580689 | INACTIVE | TX | GSMC MARSHALL | C CORP | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THE GOOD SHEPHERD HOSPITAL | ||
| Q | $49,389,092 | CASH METHOD |
| HARRISON COUNTY HOSPITAL ASSOCIATION | ||
| Q | $6,978,906 | CASH METHOD |