GOOD SHEPHERD HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD HOSPITAL INC (EIN 75-1041154)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-17
- IRS object ID
- 201522299349304607
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-17T18:09:41-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 POST OAK BLVD STE 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 751041154 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE GOOD SHEPHERD HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 9033152000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E MARSHALL AVENUE | AddressLine1 |
| City | LONGVIEW | City |
| State | TX | State |
| ZIP Code | 75601 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIM PILEGGI | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9033152440 | PhoneNum |
| Signature | 2015-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAIGE GERICH | PreparerPersonNm |
| PTIN | P00226776 | PTIN |
| Phone | 7134994600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIM PILEGGI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 EAST MARSHALL AVENUE | AddressLine1 |
| City | LONGVIEW | City |
| State | TX | State |
| ZIP Code | 75601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $331,139,424 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GSMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1959 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | GOOD SHEPHERD MEDICAL CENTER IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL DEDICATED TO CREATING A HEALTHIER FUTURE FOR THE RESIDENTS OF LONGVIEW AND NORTHEAST TEXAS. TO ENSURE THE CONTINUED WELL-BEING OF THE COMMUNITY, THE MEDICAL CENTER STRIVES TO PROVIDE QUALITY, COMPASSIONATE AND COMPREHENSIVE HEALTHCARE SERVICES TO THE WHOLE PERSON: BODY, MIND AND SPIRIT.GOOD SHEPHERD EXISTS TO CARE FOR ALL THOSE WHO PRESENT THEMSELVES, WHATEVER THEIR NEED, REGARDLESS OF RACE, CREED OR GENDER. THE MEDICAL CENTER PROVIDES HEALTH SERVICES TO THE MEDICALLY UNDERSERVED AS FAR AS RESOURCES PROVIDE, WHILE MAINTAINING THE LONG-TERM INTEGRITY OF SERVICE TO THE COMMUNITY.THE LEADERSHIP WILL REMAIN EVER COGNIZANT OF THE MEDICAL CENTER'S INTEGRAL ROLE IN THE COMMUNITY AND ITS RESPONSIBILITY TO DEMONSTRATE GOOD STEWARDSHIP OF THE HEALTH OF ITS RESIDENTS WHILE PROVIDING SERVICES AT COMPETITIVE COSTS. INHERENT WITHIN THIS MISSION IS A RESPONSIBILITY TO MAINTAIN THE ORGANIZATION'S FINANCIAL SOLVENCY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 2444 | TotalEmployeeCnt |
| Total Volunteers | 160 | TotalVolunteersCnt |
| Total Gross UBI | $5,243,552 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$77,811 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $579,694 | PYContributionsGrantsAmt |
| CY Contributions Grants | $156,326 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $342,796,988 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $327,516,624 | CYProgramServiceRevenueAmt |
| PY Investment Income | $623,212 | PYInvestmentIncomeAmt |
| CY Investment Income | $619,175 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,271,020 | PYOtherRevenueAmt |
| CY Other Revenue | $2,241,004 | CYOtherRevenueAmt |
| PY Total Revenue | $346,270,914 | PYTotalRevenueAmt |
| CY Total Revenue | $330,533,129 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $752,708 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $119,312,987 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $107,251,485 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $232,109,968 | PYOtherExpensesAmt |
| CY Other Expenses | $229,582,557 | CYOtherExpensesAmt |
| PY Total Expenses | $351,422,955 | PYTotalExpensesAmt |
| CY Total Expenses | $337,586,750 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,152,041 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,053,621 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $177,119,050 | TotalAssetsBOYAmt |
| Total Assets EOY | $147,684,765 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $197,943,020 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $173,548,629 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$20,823,970 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$25,863,864 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GOOD SHEPHERD MEDICAL CENTER PROVIDES SERVICES TO PATIENTS QUALIFYING UNDER THE CHARITY POLICY AND PROVIDES QUALITY TERTIARY HEALTH SERVICES TO THE RESIDENTS OF NORTHEAST TEXAS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $267,957,995 | ExpenseAmt |
| Grant | $752,708 | GrantAmt |
| Revenue | $322,273,072 | RevenueAmt |
| Desc | GOOD SHEPHERD MEDICAL CENTER IS IMPACTED BY THE SIGNIFICANT CHANGES IN HEALTHCARE TODAY. TO ENSURE THAT GOOD SHEPHERD MEDICAL CENTER IS STRONGLY POSITIONED FOR THE FUTURE, THE FOLLOWING MAJOR STRATEGIES HAVE BEEN ADOPTED:- IMPROVE CLINICAL QUALITY OUTCOMES AND CUSTOMER SERVICE- IMPROVE OPERATING PERFORMANCE AND REDUCE COSTS- DEVELOP A HEALTH SYSTEM THAT PROVIDES A FULL CONTINUUM OF HOSPITAL, PHYSICIAN AND INSURANCE SERVICES- IMPROVE THE HEALTH STATUS OF THE SERVICE AREA- IMPROVE THE CAPABILITY AND ADAPTABILITY OF EMPLOYEESGOVERNED BY A VOLUNTARY BOARD OF DIRECTORS, GOOD SHEPHERD MEDICAL CENTER HAS A DIRECT LINK TO SOLICIT COMMUNITY INVOLVEMENT IN DECISION MAKING. THE BOARD OF DIRECTORS IS COMPOSED OF GOOD SHEPHERD MEDICAL CENTER'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND TWELVE MEMBERS OF THE COMMUNITY WHO SERVE ON A VOLUNTARY BASIS TO FURTHER THE MISSION OF GOOD SHEPHERD MEDICAL CENTER. THESE MEMBERS REPRESENT LOCAL BUSINESS, INDUSTRY, EDUCATION, MEDICAL SERVICES AND CONSUMERS-AT-LARGE. THE BOARD OF DIRECTORS PROVIDES PERPETUAL COMMUNICATION OF THE CONCERNS AND HEALTHCARE NEEDS OF THE GREATER LONGVIEW COMMUNITY.AS PART OF OUR ONGOING COMMITMENT TO THE UNDERSERVED POPULATION OF GOOD SHEPHERD'S SERVICE AREA, THE BOARD OF DIRECTORS ESTABLISHED CRITERIA FOR FINANCIAL ASSISTANCE CONSISTENT WITH THE ORGANIZATION'S MISSION AND FINANCIAL RESOURCES.FINANCIAL ASSISTANCE IS PROVIDED TO ALL PATIENTS, WITHOUT REGARD TO RACE, CREED, GENDER OR NATIONAL ORIGIN, WHO ARE CLASSIFIED AS FINANCIALLY INDIGENT ACCORDING TO GOOD SHEPHERD'S ELIGIBILITY GUIDELINES AND WHO PRESENT THEMSELVES FOR CARE AT GOOD SHEPHERD MEDICAL CENTER AND ITS REGIONAL SYSTEM OF SERVICES. MANY FACTORS SUCH AS ALL SOURCES OF INCOME, EMPLOYMENT STATUS, FAMILY SIZE, AMOUNT OF THE PATIENT'S ACCOUNT AND HEALTHCARE NEEDS ARE ALL TAKEN INTO CONSIDERATION WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. GOOD SHEPHERD MEDICAL CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF FINANCIAL ASSISTANCE IT PROVIDES TO THE COMMUNITIES IT SERVES.- IN FISCAL YEAR 2014, CHARITY CARE BASED ON ESTABLISHED RATES WAS RENDERED IN THE AMOUNT OF $88,868,881. THIS AMOUNT ENCOMPASSES THE CARE OF MORE THAN 12,000 PATIENT VISITS AND REPRESENTS APPROXIMATELY 7.15 PERCENT OF GROSS PATIENT REVENUE.- GOOD SHEPHERD PROVIDED CHARITY CARE, GOVERNMENT-SPONSORED INDIGENT HEALTHCARE AND OTHER COMMUNITY BENEFITS COSTING $22,410,511 OR MORE THAN 8.5 PERCENT OF THE TOTAL OPERATING EXPENSES.GOOD SHEPHERD MEDICAL CENTER 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 62 PERCENT OF THE MEDICAL CENTER'S GROSS PATIENT REVENUE. | Desc |
| Total Program Service Expenses | $267,957,995 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 180 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2444 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANET ANDERSEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9033155177 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E MARSHALL AVE | AddressLine1 |
| City | LONGVIEW | City |
| State | TX | State |
| ZIP Code | 75601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARK BOON | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL BURNS | |||||||||
| CHAIRMAN FINANCE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KELLYN DRAYER | |||||||||
| VICE CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| WILLIAM M HOLDA EDD | |||||||||
| CHAIRMAN | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| CR MARTIN MD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS P TIBILETTI | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| STAN UPCHURCH MD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| GAYLE ENGLISH | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| HOMER ROCKMORE | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVE ALTMILLER | |||||||||
| PRESIDENT - CEO | 2.00 | Yes (X) | $0 | $254,153 | $4,391 | Yes (X) | 40.00 | ||
| SUSHAMA BRIMMER | |||||||||
| PHYSICIAN | 2.00 | Yes (X) | $0 | $525,874 | $23,375 | 40.00 | |||
| MARK BOGAL | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOE BOB JOYCE | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAT KEEL | |||||||||
| CFO END 5-14-14 | 2.00 | $0 | $428,336 | $10,255 | Yes (X) | 40.00 | |||
| LEORA WILLIAMS | |||||||||
| SECRETARY | 2.00 | $0 | $72,990 | $14,782 | Yes (X) | 40.00 | |||
| TIM PILEGGI | |||||||||
| INTERIM CFO BEGIN 5-15-14 | 2.00 | $0 | $0 | $0 | Yes (X) | 40.00 | |||
| RICHARD LEE HOLLADAY | |||||||||
| CRNA | 40.00 | $367,932 | $0 | $14,691 | Yes (X) | ||||
| ROGER BRYANT JR | |||||||||
| CRNA | 40.00 | $263,204 | $0 | $26,044 | Yes (X) | ||||
| JOHN COX | |||||||||
| CRNA | 40.00 | $281,310 | $0 | $24,393 | Yes (X) | ||||
| LEE ALLEN HOLLADAY | |||||||||
| CRNA | 40.00 | $252,453 | $0 | $22,056 | Yes (X) | ||||
| RICHARD HINSON | |||||||||
| CRNA | 40.00 | $276,854 | $0 | $20,964 | Yes (X) | ||||
| ED BANOS | |||||||||
| FORMER - CEO | 0.00 | $0 | $668,219 | $0 | 0.00 | Yes (X) | |||
| KENNETH CUNNINGHAM | |||||||||
| SVP - LEGAL | 0.00 | $0 | $362,889 | $24,634 | 40.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,441,753 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,312,461 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $185,585 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 100 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LONGVIEW EMERGENCY MEDICINE | |||||
| 700 EAST MARSHALL | LONGVIEW | TX | 75601 | PROFESSIONAL FEES | $10,497,473 |
| MORRIS AND DICKSON CO LLC | |||||
| PO BOX 51367 | SHREVEPORT | LA | 71135 | PHARMACY SERVICES | $7,222,987 |
| MORRISON MANAGEMENT SPECIALIST | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | MEDICAL SERVICES | $5,567,942 |
| HOSPITAL HOUSEKEEPING SYSTEMSLTD | |||||
| POBOX 826 | SAN ANTONIO | TX | 78293 | HOUSEKEEPING SERVICES | $5,257,137 |
| UNIVERSITY OF TEXAS HEALTH SCIENCE | |||||
| 11937 US HIGHWAY 271 | TYLER | TX | 757083154 | MEDICAL SERVICES | $2,556,278 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 50 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $156,326 | RelatedOrganizationsAmt |
| Total Contributions | $156,326 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $295,538,234 | $295,538,234 | |
| GOVERNMENT DSH AND TRAUMA FUNDING | 900099 | $20,301,999 | $20,301,999 | |
| LAB OUTREACH REVENUE | 621500 | $4,707,200 | $4,707,200 | |
| WELLNESS CENTER REVENUE | 624100 | $3,755,149 | $3,218,797 | $536,352 |
| LEASE REVENUE | 532420 | $1,466,261 | $1,466,261 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,747,781 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,747,781 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $327,516,624 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $595,422 | TotalRevenueColumnAmt |
| Exclusion | $595,422 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $531,875 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $606,295 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$74,420 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$74,420 | TotalRevenueColumnAmt |
| Exclusion | -$74,420 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23,753 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23,753 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,753 | TotalRevenueColumnAmt |
| Exclusion | $23,753 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722210 | $2,109,088 | $2,109,088 |
| VENDING | 722210 | $35,130 | $35,130 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $171,206 | TotalRevenueColumnAmt |
| Exclusion | $171,206 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,315,424 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $330,533,129 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $322,273,072 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,243,552 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,860,179 | 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 | $752,708 | TotalAmt |
| Program Services | $752,708 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,162,180 | TotalAmt |
| Program Services | $81,921,708 | ProgramServicesAmt |
| Management And General | $7,240,472 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,223,071 | TotalAmt |
| Program Services | $2,045,225 | ProgramServicesAmt |
| Management And General | $177,846 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,280,824 | TotalAmt |
| Program Services | $8,492,917 | ProgramServicesAmt |
| Management And General | $787,907 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,585,410 | TotalAmt |
| Program Services | $6,104,018 | ProgramServicesAmt |
| Management And General | $481,392 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,665,091 | TotalAmt |
| Management And General | $17,665,091 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,997 | TotalAmt |
| Management And General | $239,997 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,898,799 | TotalAmt |
| Management And General | $4,898,799 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,057 | TotalAmt |
| Management And General | $3,057 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,531,172 | TotalAmt |
| Program Services | $22,001,076 | ProgramServicesAmt |
| Management And General | $15,530,096 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,711,625 | TotalAmt |
| Program Services | $200 | ProgramServicesAmt |
| Management And General | $1,711,425 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,562,772 | TotalAmt |
| Program Services | $1,437,750 | ProgramServicesAmt |
| Management And General | $125,022 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,073,270 | TotalAmt |
| Management And General | $7,073,270 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,559,020 | TotalAmt |
| Program Services | $1,650,104 | ProgramServicesAmt |
| Management And General | $908,916 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,595 | TotalAmt |
| Program Services | $102,667 | ProgramServicesAmt |
| Management And General | $8,928 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,465,088 | TotalAmt |
| Management And General | $7,465,088 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,559,776 | TotalAmt |
| Program Services | $5,100,499 | ProgramServicesAmt |
| Management And General | $459,277 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,185,410 | TotalAmt |
| Program Services | $1,090,392 | ProgramServicesAmt |
| Management And General | $95,018 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | $73,909,228 | $72,616,156 | $1,293,072 |
| MEDICAL SUPPLIES & EQUI | $32,571,022 | $32,571,022 | |
| LEASES AND RENTALS | $6,718,259 | $6,134,675 | $583,584 |
| HOUSEKEEPING | $6,682,479 | $6,147,881 | $534,598 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,134,897 | TotalAmt |
| Program Services | $19,788,997 | ProgramServicesAmt |
| Management And General | $2,345,900 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,586,750 | TotalAmt |
| Program Services | $267,957,995 | ProgramServicesAmt |
| Management And General | $69,628,755 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,317,159 | BOYAmt |
| EOY | $19,747 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,295,946 | BOYAmt |
| EOY | $60,139,048 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,955,838 | BOYAmt |
| EOY | $10,624,823 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,204,788 | BOYAmt |
| EOY | $878,555 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $187,727,534 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $131,040,808 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,841,935 | BOYAmt |
| EOY | $56,686,726 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,527,418 | BOYAmt |
| EOY | $9,643,997 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,781,017 | BOYAmt |
| EOY | $7,403,188 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,831,919 | BOYAmt |
| EOY | $1,550,321 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,363,030 | BOYAmt |
| EOY | $738,360 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,119,050 | BOYAmt |
| EOY | $147,684,765 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,149,015 | BOYAmt |
| EOY | $25,127,971 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,972 | BOYAmt |
| EOY | $357,212 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,193,480 | BOYAmt |
| EOY | $126,402,763 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,566,905 | BOYAmt |
| EOY | $861,250 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,517,648 | BOYAmt |
| EOY | $20,799,433 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,943,020 | BOYAmt |
| EOY | $173,548,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$27,193,059 | BOYAmt |
| EOY | -$32,798,027 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,369,089 | BOYAmt |
| EOY | $6,934,163 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$20,823,970 | BOYAmt |
| EOY | -$25,863,864 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,119,050 | BOYAmt |
| EOY | $147,684,765 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,053,621 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$442 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,014,169 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $3,057 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $3,057 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT REPRESENTS THE PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION THAT THE AHA DETERMINED WAS FOR LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $614,744 | OtherCostOrOtherBasisAmt |
| Book Value | $614,744 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $103,195,366 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,131,266 | DepreciationAmt |
| Book Value | $44,064,100 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,511,759 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,744,550 | DepreciationAmt |
| Book Value | $1,767,209 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,347,536 | OtherCostOrOtherBasisAmt |
| Depreciation | $66,164,992 | DepreciationAmt |
| Book Value | $9,182,544 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,058,129 | OtherCostOrOtherBasisAmt |
| Book Value | $1,058,129 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $56,686,726 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN CHAMPION EMS | $469,025 | C |
| RESTRICTED ASSETS | $6,934,163 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $7,403,188 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $6,389,754 |
| ESTIMATED SELF-INSURANCE COSTS | $2,850,719 |
| DUE TO AFFILIATES | $5,868,150 |
| NOTE PAYABLE TO GSMC FOUNDATION | $5,690,810 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,799,433 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $259,326,261 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$442 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $606,295 | OtherRevenueAmt |
| Revenue Not Reported | $605,853 | RevenueNotReportedAmt |
| Revenue Subtotal | $258,720,408 | RevenueSubtotalAmt |
| Other Revenues Not Included | $71,812,721 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $71,812,721 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $330,533,129 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $264,283,816 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $606,295 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $606,295 | ExpensesNotReportedAmt |
| Expenses Subtotal | $263,677,521 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $73,909,229 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $73,909,229 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $337,586,750 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | 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 2011. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 606,295. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 73,909,228. CONTRIBUTIONS 156,326. INVESTMENT RETURN 686,915. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -91,935. OTHER 48,090. JOINT VENTURE INVESTMENT LOSS -2,895,903. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 606,295. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 73,909,228. ROUNDING 1. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,996,235 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,906,722 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,089,513 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04960 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,489,465 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,285,079 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,204,386 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03870 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $460,603 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $354,614 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $105,989 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,946,303 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,546,415 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,399,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08870 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $320,888 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,953 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $269,935 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,591,254 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,346,862 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,244,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01990 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $752,708 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $752,708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,664,850 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,397,815 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,267,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02380 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,611,153 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,944,230 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,666,923 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11250 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $67,407,508 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $86,956,431 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $64,869,970 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $22,086,461 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 EAST MARSHALL AVE | AddressLine1 |
| City | LONGVIEW | City |
| State | TX | State |
| ZIP Code | 75601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GSMC.ORG | WebsiteAddressTxt |
| State License | 000029 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE GOOD SHEPHERD HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.GSMC.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| THE GOOD SHEPHERD HOSPITAL INC | PART V, SECTION B, LINE 3: GSMC RECEIVED INPUT FROM REPRESENTATIVES OF THE COMMUNITY WHICH INCLUDES THE FOLLOWING INDIVIDUALS WITH; A.)SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH B.)AFFILIATION WITH LOCAL GOVERNMENT,SCHOOLS AND INDUSTRYC.)INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS.INTERVIEWS WERE CONDUCTED BOTH AT THE MEDICAL CENTER AND IN LOCATIONS MORE CONVENIENT FOR THE INFORMANT. ALL INTERVIEWS WERE CONDUCTED BY BKD PERSONNEL USING A STANDARD QUESTIONNAIRE.THE FOLLOWING INDIVIDUALS PARTICIPATED IN OUR KEY INFORMANT INTERVIEW PROCESS:LETOURNEU UNIVERSITY/NEW LIFE ASSEMBLY OF FED, ASSOCIATE PROFESSOR/PASTORGOOD SHEPHERD HEALTH SYSTEM, EXECUTIVE DIRECTORGOOD SHEPHERD HEALTH SYSTEM, DIRECTOR OF REIMBURSEMENTEASTMAN ESTATES, COMMUNITY RELATIONS DIRECTORGOOD SHEPHERD HEALTH SYSTEM, DIRECTOR OF INFECTION PROTECTIONGOOD SHEPHERD HEALTH SYSTEM, DIVISION CONTROLLERGOOD SHEPHERD HEALTH SYSTEM, CHIEF NURSING OFFICERCITY OF LONGVIEW, ASSISTANT CITY MANAGERUT HEALTH AND SCIENCE, DIRECTOR PROGRAM PLANNINGCOMMUNITY HEALTHCORE, PROGRAM DIRECTORKILGORE COLLEGE OF NURSING, DIRECTORUPSHER COUNTY, JUDGELONGVIEW INTERFAITH HOSPITALITY NETWORK, EXECUTIVE DIRECTORTEXAS ONCOLOGY, DIRECTORUT HEALTH AND SCIENCE, DIRECTOR OF OCCUPATIONAL HEALTH SCIENCESCOUNTY HEALTH AUTHORITY, DIRECTORGOOD SHEPHERD MEDICAL ASSOCIATES, ETGA PHYSICIANGOOD SHEPHERD HEALTH SYSTEM, PHYSICAL THERAPY DIRECTORCITY OF LONGVIEW, EMS CHIEFFRIENDS OF PARTNERS IN PREVENTION, DIRECTORCOMMUNITY HEALTHCARE, EXECUTIVE DIRECTORGOOD SHEPHERD HEALTH SYSTEM, SYSTEM CONTROLLEREAST TEXAS LITERACY COUNCIL, EXECUTIVE DIRECTORLONGVIEW SHERIFF DEPARTMENT, DEPUTYCITY OF LONGVIEW, FIRE CHIEFGREGG COUNTY, JUSTICE OF THE PEACEGREGG COUNTY, JUDGE COMMISSIONERS COURTGOOD SHEPHERD HEALTH SYSTEM, EXECUTIVE DIRECTORGOOD SHEPHERD HEALTH SYSTEM, EXECUTIVE VPCITY OF LONGVIEW, DIRECTOR OF COMMUNITY SERVICESGOOD SHEPHERD HEALTH SYSTEM, EXECUTIVE DIRECTOR HEALTH & PREVENTION SERVICESSALVATION ARMY, MAJORGOOD SHEPHERD HEALTH SYSTEM, DIRECTOR OF QUALITY CONTROLGOOD SHEPHERD HEALTH SYSTEM, DIRECTOR RESIDENCY PROGRAMGOOD SHEPHERD HEALTH SYSTEM, PHYSICIAN GOOD SHEPHERD HEALTH SYSTEM, EMPLOYEEGOOD SHEPHERD HEALTH SYSTEM, CFOGOOD SHEPHERD HEALTH SYSTEM, VP ORGANIZATIONAL EXECUTIVEGOOD SHEPHERD HEALTH SYSTEM, VP ANCILLARY SERVICESLONGVIEW COMMUNITY MINISTRIES, ASSISTANT DIRECTORLONGVIEW CHILD DEVELOPMENT, DIRECTORGREGG COUNTY, SHERIFFSEE SAW CHILDREN'S PLACE, DIRECTORGOOD SHEPHERD HEALTH SYSTEM, SYSTEM DIRECTOR OF MENTAL CARECHAMPION EMS, CEOGSHS, DIRECTOR OF FINANCIAL PLANNINGGOOD SHEPHERD HEALTH SYSTEM, DIVISION DIRECTOR CRITICAL CAREGOOD SHEPHERD HEALTH SYSTEM,PARENTING RESOURCE CENTER, DIRECTORGOOD SHEPHERD HEALTH SYSTEM, MARKETING DIRECTOR |
| THE GOOD SHEPHERD HOSPITAL INC | PART V, SECTION B, LINE 20D: THE FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES STATES ALL UNINSURED PATIENTS WHO QUALIFY FOR LESS THAN 68% FINANCIAL ASSISTANCE AND COMPLETE THE NECESSARY APPLICATION PROCESS,WILL RECEIVE THE DISCOUNT UNDER THE UNINSURED ADJUSTMENT. THIS AMOUNT IS BASED ON AN AVERAGE OF GSHS MANAGED CARE CONTRACTS DEEPEST DISCOUNTS. THIS AMOUNT WILL BE REVIEWED ANNUALLY BY THE FAP COMMITTEE TO ADJUST FOR CHANGES AS APPROPRIATE. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | ALLOCATION OF MEDICAID SUPPLEMENTAL PAYMENTSDURING THE CURRENT REPORTING PERIOD , THE STATE OF TEXAS PARTICIPATED IN A SPECIAL 1115 MEDICAID WAIVER WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). VARIOUS SUPPLEMENTAL HOSPITAL PAYMENTS UNDER THE WAIVER ARE INTENDED TO HELP HOSPITALS OFFSET MEDICAID AND UNINSURED LOSSES AND/OR CREATE NEW PROGRAMS DESIGNED TO IMPROVE THE PATIENT CARE EXPERIENCE, ENHANCE HEALTH OUTCOMES AND REDUCE COSTS FOR THESE SAME PATIENT POPULATIONS. SUPPLEMENTAL PAYMENTS ARE CAPPED BY MEDICAID AND UNINSURED LOSSES DETERMINED FROM A SPECIAL UNCOMPENSATED CARE (UC) TOOL DESIGNED BY THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC). IN FISCAL YEAR 2014, THE HOSPITAL RECEIVED $20,301,999 OF SUPPLEMENTAL PAYMENTS UNDER THE MEDICAID WAIVER. FOR PURPOSES OF IRS FORM 990 SCHEDULE H REPORTING, THESE PAYMENTS HAVE BEEN ALLOCATED BETWEEN FINANCIAL ASSISTANCE (CHARITY), MEDICAID AND BAD DEBT USING RATIOS DERIVED FROM THE UC TOOL AND OTHER INTERNAL DOCUMENTS USED FOR PURPOSES OF PREPARING MEDICARE COST REPORT WORKSHEET S-10 "HOSPITAL UNCOMPENSATED AND INDIGENT CARE DATA".MORE INFORMATION ON THE MEDICAID WAIVER MAY BE FOUND AT HTTP://WWW.HHSC.STATE.TX.US/WAIVER-1115-PROPOSAL.PDF. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 73,909,228. |
| PART III, LINE 4: | THE INFORMATION IS PROVIDED IN THE ATTACHED AUDITED FINANCIAL STATEMENT ON PAGES 10 AND 11 TITLED PATIENT ACCOUNTS RECEIVABLE. |
| PART III, LINE 8: | SOURCE OF INFORMATION ON LINE 6 IS THE FYE 09/30/14 MEDICARE COST REPORT. THE SUM OF MEDICARE PART A ALLOWABLE COSTS REPORTED ON WORKSHEET D-1, PART II (FOR BOTH INPATIENT ACUTE PPS AND INPATIENT 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 THE FYE 9/30/2014 FILED COST REPORT. THE COST REPORT USES FINANCIAL AND STATISTICAL DATA TO DEVELOP PER DIEMS 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 III, LINE 2 AND LINE 3 | BAD DEBT FROM THE AUDITED FINANCIAL STATEMENT REDUCED BY MEDICAID SUPPLEMENTAL PAYMENTS OF $ 6,501,725. WE DID NOT INCLUDE ANY BAD DEBT AMOUNTS IN COMMUNITY BENEFITS. |
| PART VI, LINE 2: | THE UNITED WAY CONDUCTS A NEEDS ASSESSMENT SURVEY EVERY TWO YEARS TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY. GOOD SHEPHERD USES THIS DATA TO AUGMENT INFORMATION GATHERED BASED ON UTILIZATION OF SERVICES. |
| PART VI, LINE 3: | AS PATIENTS ENTER OUR FACILITY, SIGNAGE IS POSTED IN DESIGNATED AREAS WHICH STATE OUR POLICY TO PROVIDE CHARITY CARE TO THOSE PATIENTS WHO MEET ELIGIBILITY REQUIREMENTS. BUSINESS OFFICE AND REGISTRATION STAFF DISCUSS PAYMENT OPTIONS AND FINANCIAL ASSISTANCE AVAILABLE TO PATIENTS USING VERBAL AND WRITTEN COMMUNICATION. PATIENTS ARE CONTACTED PRIOR TO SERVICES WITH AN ESTIMATED COST AND OUT OF POCKET EXPENSES. CASH PRICES AND PAYMENT OPTIONS ARE DISCUSSED AND FINANCIAL ASSISTANCE SCREENING IS AVAILABLE UPON REQUEST. GOOD SHEPHERD MEDICAL CENTER EVALUATES PATIENT APPLICATIONS AND UTILIZES A SLIDING SCALE TO QUALIFY PATIENTS BASED ON GOVERNMENT POVERTY GUIDELINES. ADDITIONALLY, OUR ELIGIBILITY VENDOR SCREENS FOR GOVERNMENT AGENCY PROGRAMS AND OFFERS FINANCIAL ASSISTANCE APPLICATIONS TO THOSE WHO DO NOT QUALIFY FOR GOVERNMENT PROGRAMS. BUSINESS OFFICE AND REGISTRATION PERSONNEL ARE AVAILABLE TO ANSWER ANY FINANCIAL QUESTIONS AND ASSIST THE PUBLIC WITH THEIR FINANCIAL OBLIGATIONS. |
| PART VI, LINE 4: | GOOD SHEPHERD MEDICAL CENTER SERVES AN 11-COUNTY REGION INCLUDING THE FOLLOWING COUNTIES: GREGG, HARRISON, MARION, MORRIS, PANOLA, RUSK, UPSHUR, CAMP, CASS, WOOD, AND TITUS. GOOD SHEPHERD MEDICAL CENTERS IN LONGVIEW, LINDEN, AND MARSHALL OFFER A TRUE SYSTEM OF HEALTHCARE THAT ENCOMPASSES THE REACH OF OUR REGION. TO MEET THE EVERYDAY HEALTHCARE NEEDS OF THE RESIDENTS IN OUR REGION, GOOD SHEPHERD MEDICAL CENTER OPERATES FAMILY HEALTH CENTERS IN THE COMMUNITIES OF LONGVIEW, GLADEWATER, HENDERSON, KILGORE, JEFFERSON, LINDEN, AND HUGHES SPRINGS. THE PRIMARY 6 COUNTIES POPULATION, GREGG - 123,204, HARRISON-67,336, MARION-10,149, UPSHUR-40,3654, RUSK-53,923 AND PANOLA-23,769, OVERALL POPULATION IS PROJECTED TO INCREASE OVER THE FIVE YEAR PERIOD FROM 261,884 TO 274,103, OR 4.7%. THE AGE CATEGORY THAT UTILIZES HEALTH CARE SERVICES THE MOST, 65 YEARS AND OVER, IS PROJECTED TO INCREASE FROM 39,703 TO 45,704, OR 15.1%. |
| PART VI, LINE 5: | GOVERNED BY A VOLUNTARY BOARD OF DIRECTORS, GOOD SHEPHERD MEDICAL CENTER HAS A DIRECT LINK TO SOLICIT COMMUNITY INVOLVEMENT IN DECISION MAKING. THE BOARD OF DIRECTORS IS COMPOSED OF GOOD SHEPHERD MEDICAL CENTER'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND TWELVE MEMBERS OF THE COMMUNITY WHO SERVE ON A VOLUNTARY BASIS TO FURTHER THE MISSION OF GOOD SHEPHERD MEDICAL CENTER. THESE MEMBERS REPRESENT LOCAL BUSINESS, INDUSTRY, EDUCATION, MEDICAL SERVICES, AND CONSUMERS-AT-LARGE. THE BOARD OF DIRECTORS PROVIDES PERPETUAL COMMUNICATION OF THE CONCERNS AND HEALTHCARE NEEDS OF THE GREATER LONGVIEW COMMUNITY.GOOD SHEPHERD MEDICAL CENTER MAINTAINS A PRESENCE TO PROVIDE HEALTHCARE INFORMATION TO COMMUNITIES THROUGHOUT THE REGION. IN ADDITION, THE ORGANIZATION HOSTS AN ANNUAL HEALTH FAIR OFFERING FREE HEALTH SCREENINGS. GOOD SHEPHERD ALSO OFFERS DISCOUNTED MAMMOGRAMS EACH MONTH, FREE PROSTRATE SCREENINGS ANNUALLY, AND WAS INTEGRALLY INVOLVED IN ESTABLISHING THE MAYOR'S FITNESS COUNCIL. THROUGH THIS FITNESS COUNCIL'S ACTIVITIES AND SUPPORTED BY GOOD SHEPHERD, LONGVIEW HAS BEEN NAMED THE "FITTEST CITY IN TEXAS" FOR THE PAST TWO YEARS. THE COUNCIL PROMOTES ACTIVE LIFESTYLES AND FITNESS THROUGH WALKING AND REGULAR EXERCISE. |
| PART VI, LINE 6: | GOOD SHEPHERD HEALTH SYSTEM OPERATES HOSPITALS IN LONGVIEW, LINDEN, AND MARSHALL. IN EACH OF THE COMMUNITIES, THE HOSPITAL OFFERS FREE SCREENINGS TO IDENTIFY EARLY DISEASE, EDUCATIONAL OFFERINGS FEATURING PHYSICIAN SPEAKERS AND CONTINUOUSLY PARTICIPATE IN COMMUNITY ACTIVITIES WHERE PREVENTION AND WELLNESS INFORMATION CAN BE SHARED. |
| PART VI, LINE 7 | TEXAS |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SERVICE ORGANIZATION OF GOOD SHEPHERD | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2950 50TH STREET | AddressLine1 |
| City | LUBBOCK | City |
| State | TX | State |
| ZIP Code | 79413 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 383914883 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $752,708 | CashGrantAmt |
| Purpose Of Grant | HEALTHCARE SERVICES | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I PART I LINE 2 | FormAndLineReferenceDesc |
| Explanation | AFTER A NEED IS DETERMINED FOR ASSISTANCE, A REQUEST FROM THE SERVICE ORGANIZATION OF GOOD SHEPHERD IS SUBMITTED, IDENTIFYING THE FUNDS NEEDED FOR THE PROGRAM AND/OR PATIENT. THE REQUEST IS REVIEWED AND APPROVED BY THE CFO BEFORE FUNDS ARE TRANSFERRED. A SERVICE LOG IS SUBMITTED TO THE CFO TO DOCUMENT HOURS INCURRED ON PROJECTS AND SUPPORT USE OF FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVE ALTMILLER | ||||||||||||||
| PRESIDENT - CEO | $0 | $254,153 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,391 | $0 | $258,544 | $0 | $0 |
| SUSHAMA BRIMMER | ||||||||||||||
| PHYSICIAN | $0 | $438,439 | $0 | $87,435 | $0 | $0 | $0 | $7,788 | $0 | $15,587 | $0 | $549,249 | $0 | $0 |
| PAT KEEL | ||||||||||||||
| CFO END 5-14-14 | $0 | $428,336 | $0 | $0 | $0 | $0 | $0 | $5,100 | $0 | $5,155 | $0 | $438,591 | $0 | $0 |
| RICHARD LEE HOLLADAY | ||||||||||||||
| CRNA | $364,959 | $0 | $2,973 | $0 | $0 | $0 | $10,085 | $0 | $4,606 | $0 | $382,623 | $0 | $0 | $0 |
| ROGER BRYANT JR | ||||||||||||||
| CRNA | $260,765 | $0 | $2,439 | $0 | $0 | $0 | $10,121 | $0 | $15,923 | $0 | $289,248 | $0 | $0 | $0 |
| JOHN COX | ||||||||||||||
| CRNA | $278,795 | $0 | $2,515 | $0 | $0 | $0 | $8,806 | $0 | $15,587 | $0 | $305,703 | $0 | $0 | $0 |
| LEE ALLEN HOLLADAY | ||||||||||||||
| CRNA | $250,117 | $0 | $2,336 | $0 | $0 | $0 | $7,219 | $0 | $14,837 | $0 | $274,509 | $0 | $0 | $0 |
| RICHARD HINSON | ||||||||||||||
| CRNA | $274,397 | $0 | $2,457 | $0 | $0 | $0 | $8,391 | $0 | $12,573 | $0 | $297,818 | $0 | $0 | $0 |
| ED BANOS | ||||||||||||||
| FORMER - CEO | $0 | $0 | $0 | $0 | $0 | $668,219 | $0 | $0 | $0 | $0 | $0 | $668,219 | $0 | $0 |
| KENNETH CUNNINGHAM | ||||||||||||||
| SVP - LEGAL | $0 | $362,889 | $0 | $0 | $0 | $0 | $0 | $9,047 | $0 | $15,587 | $0 | $387,523 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | GSMC DOES NOT HAVE A CEO THAT IT EMPLOYS WHO IS PAID DIRECTLY OR INDIRECTLY BY THE FILING ORGANIZATION OR A RELATED ORGANIZATION. |
| PART I, LINE 4A | ED BANOS - SEVERANCE PAYMENT FOR $668,219 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| GREGG COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION | ||||||||
| A | 751865828 | 39753MDT2 | 2004-05-27 | $21,770,000 | FINANCING | 0 | 0 | 0 |
| GREGG COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION | ||||||||
| B | 751865828 | 39753MDU9 | 2006-11-08 | $99,276,418 | ADVANCE REFUNDING OF BONDS | 0 | 0 | 0 |
| GREGG COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION | ||||||||
| C | 751865828 | 39753MFE3 | 2012-08-01 | $78,665,000 | ADVANCE REFUNDING OF BONDS | 0 | 0 | 0 |
| GREGG COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION | ||||||||
| D | 751865828 | 39753MFF0 | 2012-09-05 | $33,033,015 | CAPITAL IMPROVEMENTS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | In Reserve FundInReserveFundAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $21,770,000 | 2012 | 0 | 0 | Yes (1) | Yes (1) | |||||||
| B | 2012 | 0 | Yes (1) | Yes (1) | Yes (1) | $99,276,418 | $96,480,044 | $636,501 | $2,159,873 | ||||
| C | 2012 | 0 | Yes (1) | 0 | Yes (1) | $78,665,000 | $77,994,000 | $671,000 | |||||
| D | 2014 | 0 | Yes (1) | 0 | Yes (1) | $33,033,015 | $8,338,548 | $660,660 | $2,176,874 | $14,045,280 | $7,811,653 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | Yes (1) | 0 | 0 | 0 | 0 | 0 | ||||||
| (no name) | ||||||||||||
| B | Yes (1) | 0 | 0 | 0 | 0 | 0 | ||||||
| WELLS FARGO BANK NA | ||||||||||||
| C | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | 0 | 0 | 16.000000000000 | 0 | 0 |
| (no name) | ||||||||||||
| D | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
| D | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | GSHS INC IS THE SOLE MEMBER. |
| 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) BEGINNING JANUARY 1, 2007, APPROVE THE MEMBERS OF THE BOARD; B) BEGINNING JANUARY 1, 2007, REMOVE MEMBERS FROM THE BOARD AND SET SIZE OF BOARD; C) APPROVE THE ELECTION AND REMOVAL OF OFFICERS OF THE CORPORATION AND ESTABLISH, TERMINATE AND/OR REVISE ALL EMPLOYMENT CONTRACTS, COMPENSATION, AND BENEFIT PACKAGES OF THE OFFICERS OF THE CORPORATION; 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 IS $500,000 OR MORE, AND APPROVE ANY OPERATING EXPENSE THAT EXCEEDS THE BUDGET BY $500,000 OR MORE; L) SELECT OFFICIAL DEPOSITORIES FOR THE CORPORATION'S FUNDS; M) CREATING OR INVESTING IN ANY SUBSIDIARY ENTITY OR ENTERING ANY PARTNERSHIP OR JOINT VENTURE; N) AUTHORIZATION OF ANY LOANS, GUARANTEES, OR INCURRENCE OF DEBT; O) 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 P) APPROVAL OF THE ADMISSION OF ADDITIONAL MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION HAS AN EXTERNAL ACCOUNTING FIRM AUDIT ON A CONSOLIDATED 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 PRIOR TO FILING. THE BOARD OF DIRECTORS WILL REVIEW AFTER THE SUBMISSION DATE. |
| 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 LONGNECKER & ASSOCIATES. THIS SUBCOMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION AND BONUSES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOOD SHEPHERD MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 11,846,480. MANAGEMENT AND GENERAL EXPENSES 15,498,959. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,345,439. PROFESSIONAL FEES CONSULTING: PROGRAM SERVICE EXPENSES 377,472. MANAGEMENT AND GENERAL EXPENSES 31,137. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 408,609. PROFESSIONAL FEES PHYSICIAN: PROGRAM SERVICE EXPENSES 9,777,124. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,777,124. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 1,552,595. CHANGE IN INTEREST IN NET ASSETS OF THE FOUNDATION 565,074. RELATED ORG CONTRIBUTIONS -156,326. CONTRIBUTIONS OF OR FOR PROPERTY AND EQUIPMENT 52,815. OTHER 11. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GSHS 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 | Yes (1) | THE GOOD SHEPHERD HOSPITAL INC | |
| GOOD SHEPHERD FOUNDATION INC | |||||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752056700 | SUPPORT | TX | 501(C)(3) | LINE 11A, I | Yes (1) | THE GOOD SHEPHERD HOSPITAL INC | |
| GSHS ADMINISTRATIVE SERVICES ORGANIZATION | |||||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 861132471 | ADMIN SUPPORT | TX | 501(C)(3) | LINE 11A, I | 0 | GSHS INC | |
| HARRISON COUNTY HOSPITAL ASSOCIATION | |||||||||||
| 811 SOUTH WASHINGTON AVE | MARSHALL | TX | 75670 | 752605699 | HEALTHCARE | TX | 501(C)(3) | LINE 3 | 0 | GSHS INC | |
| GOOD SHEPHERD MEDICAL CENTER - LINDEN | |||||||||||
| 404 N KAUFMAN STREET | LINDEN | TX | 75563 | 010829282 | HEALTHCARE | TX | 501(C)(3) | LINE 3 | 0 | GSHS INC | |
| GSMC - LINDEN FOUNDATION INC | |||||||||||
| 404 N KAUFMAN STREET | LINDEN | TX | 75563 | 200845127 | SUPPORT | TX | 501(C)(3) | LINE 11B, II | 0 | GSHS INC | |
| MARSHALL HOSPITAL FOUNDATION INC | |||||||||||
| 811 SOUTH WASHINGTON AVE | MARSHALL | TX | 75670 | 752605699 | SUPPORT | TX | 501(C)(3) | LINE 7 | 0 | HARRISON COUNTY HOSPITAL ASSOCIATION | |
| MARSHALL HEALTH SERVICES INC | |||||||||||
| 811 SOUTH WASHINGTON AVE | MARSHALL | TX | 75670 | 752580686 | HEALTHCARE | TX | 501(C)(3) | LINE 3 | 0 | HARRISON COUNTY HOSPITAL ASSOCIATION | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GS AMBULATORY SURGICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E MARSHALL AVE | AddressLine1 |
| City | LONGVIEW | City |
| State | TX | State |
| ZIP Code | 75601 | ZIPCode |
| 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 | GSHS ENTERPRISES OPERATING #2 INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| GSHS ENTERPRISES INC | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752027162 | HEALTHCARE | TX | GSHS INC | C | 0 |
| GOOD SHEPHERD HEALTH NETWORK | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752554695 | INACTIVE | TX | THE GOOD SHEPHERD HOSPITAL INC | C | 0 |
| NORTHEAST TEXAS PHYSICIAN SE | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752712245 | MGMT SERVICES | TX | GSHS ENTERPRISES INC | C | 0 |
| GS PHYSICIAN SERVICES INC | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752762417 | MEDICAL SERVICES | TX | GSHS ENTERPRISES INC | C | 0 |
| GSHS ENTERPRISES HOLDING INC | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 510412465 | HOLDING COMPANY | DE | GSHS ENTERPRISES INC | C | 0 |
| GSHS ENTERPRISES OPERATING 1 | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752954772 | HEALTHCARE | DE | GSHS ENTERPRISES INC | C | 0 |
| GSHS ENTERPRISES OPERATING 2 | |||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752954777 | HEALTHCARE | DE | GSHS ENTERPRISES INC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GOOD SHEPHERD FOUNDATION INC | ||
| C | $148,674 | CASH METHOD |
| GOOD SHEPHERD FOUNDATION INC | ||
| E | $5,690,810 | CASH METHOD |