STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GSHS ADMINISTRATIVE SERVICES ORGANIZATION INC (EIN 86-1132471)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201212289349303376
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-15T15:10:46-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 POST OAK BLVD STE 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN861132471EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NamePAT KEELName
TitleCFO/EXECUTIVE VPTitle
Phone9033152000Phone
Date Signed2012-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePAIGE GERICHName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1700 E MARSHALL AVENUEAddressLine1
CityLONGVIEWCity
StateTXState
ZIP Code75601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36543732GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionPROVIDES ADMINISTRATIVE, MANAGERIAL, AND SUPPORT SERVICES FOR RELATED ENTITIES THAT PROVIDE HEALTHCARE SERVICES AND SERVICES RELATED THERETO AS A BENEVOLENT, CHARITABLE, AND EDUCATIONAL INSTITUTION.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees391TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year46090260ProgramServiceRevenuePriorYear
Program Service Revenue CY36541287ProgramServiceRevenueCY
Investment Income Prior Year231InvestmentIncomePriorYear
Investment Income Current Year1123InvestmentIncomeCurrentYear
Other Revenue Prior Year-2688OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year46087803TotalRevenuePriorYear
Total Revenue Current Year36542410TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21685434SalariesEtcPriorYear
Salaries Etc Current Year18297665SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18951016OtherExpensePriorYear
Other Expenses Current Year13798802OtherExpensesCurrentYear
Total Expenses Prior Year40636450TotalExpensesPriorYear
Total Expenses Current Year32096467TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5451353RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4445943RevenuesLessExpensesCY
Total Assets BOY17688938TotalAssetsBOY
Total Assets EOY15743951TotalAssetsEOY
Total Liabilities BOY4911739TotalLiabilitiesBOY
Total Liabilities EOY4520809TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12777199NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11223142NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDES ADMINISTRATIVE, MANAGERIAL, AND SUPPORT SERVICES FOR RELATED ENTITIES THAT PROVIDE HEALTHCARE SERVICES AND SERVICES RELATED THERETO AS A BENEVOLENT, CHARITABLE, AND EDUCATIONAL INSTITUTION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense28779796Expense
Revenue36541287Revenue
DescriptionGSHS ADMINISTRATIVE SERVICES ORGANIZATION IS A NOT-FOR-PROFIT, TAX-EXEMPT CORPORATION FORMED IN 2005 TO PROVIDE ADMINISTRATIVE AND OTHER SERVICES TO VARIOUS ENTITIES WITH THE GOOD SHEPHERD HEALTH SYSTEM. GSHS IS THE SOLE MEMBER OF GSHS ADMINISTRATIVE SERVICES ORGANIZATION, INC. THE CORPORATION'S BOARD OF DIRECTORS IS COMPRISED OF THE PRESIDENT OF THE CORPORATION, OR A VICE PRESIDENT DESIGNATED BY THE PRESIDENT, AND SUCH ADDITIONAL PERSONS AS ARE APPOINTED BY GSHS.THE GSHS ADMINISTRATIVE SERVICES ORGANIZATION IS COMPRISED OF SERVICES THAT PROVIDE SUPPORT TO THE OTHER ENTITIES OF THE ORGANIZATION. SOME OF THESE SERVICES INCLUDE ACCOUNTING, HUMAN RESOURCES, INFORMATION SYSTEMS, CARE MANAGEMENT, HEALTH INFORMATION MANAGEMENT, EDUCATION, MATERIALS MANAGEMENT, MANAGED CARE, INFECTION CONTROL, HOUSEKEEPING, SECURITY, AND PLANT OPERATIONS.OUR ACTIVITIES INCLUDE ADVOCACY, POLICY DEVELOPMENT, EDUCATION AND RESEARCH. WE WORK IN PARTNERSHIP WITH THE GSMC HEALTH NETWORKS ON A WIDE VARIETY OF ISSUES. WE PROVIDE EDUCATIONAL AND RESEARCH SERVICES.GSHS ADMINISTRATIVE SERVICES ORGANIZATION PROVIDES SERVICES TO THREE HOSPITALS, GOOD SHEPHERD MEDICAL CENTER, GOOD SHEPHERD MEDICAL CENTER-LINDEN, AND GOOD SHEPHERD MEDICAL CENTER-MARSHALL. THESE THREE HOSPITALS ARE 501(C)(3) ORGANIZATIONS, NOT-FOR-PROFIT COMMUNITY BASED HOSPITALS. THE HOSPITALS TOGETHER PROVIDE HEALTH SERVICES TO THE UNDERSERVED COMMUNITIES OF LONGVIEW AND NORTHEAST TEXAS, CASS, MORRIS AND MARION COUNTIES, AND HARRISON AND MARION COUNTIES, RESPECTIVELY.GSHS ADMINISTRATIVE SERVICES ORGANIZATION EXISTS FOR THE SOLE PURPOSE OF SUPPORTING OTHER NOT-FOR-PROFIT 501(C)(3) ORGANIZATIONS.Description
Total Program Service Expense28779796TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109674NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees391NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JANET ANDERSENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9033155177TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RICHARD DIAL
BOARD MEMBER1.00X000
EDWARD BANOS
PRESIDENT/CEO40.00X69594008409X
TOM MOBLEY
BOARD MEMBER1.00X000
MARION BENSON
VICE PRESIDENT40.0019975408834X
KENNETH CUNNINGHAM
VICE PRESIDENT40.00262724016074X
PAT KEEL
VICE PRESIDENT40.0034652004153X
LEORA WILLIAMS
SECRETARY34.009111105829X
CONNIE HEIDBREDER
ASSISTANT SECRETARY34.004711501120X
RUBY BREWER
VP OF GSHS INC40.00204432016444X
SANDY FERRIGNO
VP OF HUMAN RESOURCES40.0012808701301X
RONALD DEAN SHORT III
VP OF GSHS INC40.00176315013005X
TROY THIBODEAUX
VICE PRESIDENT40.0032781206125X
KAREN WATTS
VICE PRESIDENT40.0030815305337X
BETH CHRISMER
VP OF GSHS INC40.0014628107434X
LEON KOEHN
DIRECTOR OF AUDITING40.0010178901559X
CHERYL HERBERT
EXECUTIVE DIRECTOR OF INFECTION CONTROL40.0010854701595X
JAMES AYERS
FORMER PLANT DIRECTOR40.0012305604153X
CHRISSY RAMSEY
FORMER WEST REGIONAL CONTROLLER40.001218540875X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3389490TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation102247TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE SHAMS GROUP TSG
1304 WEST WALNUT HILL LANEIRVINGTX75038SOFTWARE SUPPORT552185
INGRAM AND ASSOCIATES
2771 MOMENTUM PLACECHICAGOIL60689COLLECTIONS483810
DELL MARKETING LP
9505 ARBORETUMAUSTINTX78759SOFTWARE INSTALL/SUPPORT424781
PNC BANK
995 DALTON AVECINCINNATIOH45203FINANCIAL SERVICES307947
CCA FINANCIAL LLC
PO BOX 17190RICHMONDVA23226FINANCIAL SERVICES295777
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT SERVICESDescription
Business Code541610BusinessCode
Total Revenue Column36541287TotalRevenueColumn
Related Or Exempt Function Income36541287RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue36541287TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column670TotalRevenueColumn
Exclusion$670ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1775Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1322Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other453Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column453TotalRevenueColumn
Exclusion$453ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36542410TotalRevenueColumn
Related Or Exempt Function Income36541287RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,123ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2851472Total
Program Services2851472ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10569973Total
Program Services8882569ProgramServices
Management And General1687404ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total57048Total
Program Services57048ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3929817Total
Program Services3929817ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total889355Total
Program Services768252ProgramServices
Management And General121103ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1231702Total
Program Services1231702ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total366609Total
Program Services366609ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29726Total
Program Services29726ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2930196Total
Program Services2930196ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total824368Total
Program Services801746ProgramServices
Management And General22622ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2730507Total
Program Services2730507ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total153107Total
Program Services150895ProgramServices
Management And General2212ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total55894Total
Program Services55894ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2092172Total
Program Services2092172ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total76644Total
Program Services76644ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BILLINGS AND COLLECTION12649381264938
LEASE AND RENTAL1020988216113804875
PLANT OPERATIONS769178769178
RECRUITING EXPENSE142234142234
MISCELLANEOUS EXPENSES71938102870910

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total38601Total
Program Services37350ProgramServices
Management And General1251ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32096467Total
Program Services28779796ProgramServices
Management And General3316671ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6127053BOY
EOY3620285EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY235883BOY
EOY69577EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY76201BOY
EOY76453EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1237699BOY
EOY1509849EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis29148584LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec23326175LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5509672BOY
EOY5822409EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4502430BOY
EOY4645378EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17688938BOY
EOY15743951EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3846139BOY
EOY3480791EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY360031BOY
EOY638229EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY705569BOY
EOY401789EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4911739BOY
EOY4520809EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12777199BOY
EOY11223142EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12777199BOY
EOY11223142EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17688938BOY
EOY15743951EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4445943ReconcilationRevenueExpenses
Reconcilation Other Changes-6000000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
THE GOOD SHEPHERD HOSPITAL INC
7510411543111$0
GOOD SHEPHERD MEDICAL CENTER-LINDEN
0108292823111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33134OtherCostOrOtherBasis
Depreciation28227Depreciation
Book Value4907BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5567OtherCostOrOtherBasis
Depreciation1775Depreciation
Book Value3792BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis29109883OtherCostOrOtherBasis
Depreciation23296173Depreciation
Book Value5813710BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5822409TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM AFFILIATESDescription
Book Value4645378BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets4645378TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$401,789Amount
FieldValueIRS element (for citing)
Total Of Amounts401789TotalOfAmounts
Total Revenue36542410TotalRevenue
Total Expenses32096467TotalExpenses
Excess Or Deficit For Year4445943ExcessOrDeficitForYear
Other-$6,000,000OtherAmount
Total Adjustments-6000000TotalAdjustments
Excess Or Deficit Per FS-1554057ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt36542410TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal36542410RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99036542410TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32096467TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal32096467ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99032096467TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE SYSTEM, GSHS ASO, THE MEDICAL CENTER, GSMC LINDEN, GSMC MARSHALL, THE GSMC FOUNDATION AND THE GSMC LINDEN FOUNDATION ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. ENTERPRISES IS A TAXABLE CORPORATION. CSC IS TAXED AS A PARTNERSHIP. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR ENTERPRISES FOR THE TAX EFFECTS OF DIFFERENCES BETWEEN THE FINANCIAL STATEMENTS AND TAX BASES OF ASSETS AND LIABILITIES. A VALUATION ALLOWANCE IS ESTABLISHED TO REDUCE DEFERRED TAX ASSETS IF IT IS MORE LIKELY THAN NOT THAT A DEFERRED TAX ASSET WILL NOT BE REALIZED. THE SYSTEM FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE SYSTEM IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007.
PART XI, LINE 8 - OTHER ADJUSTMENTS:TRANSFERS TO AFFILIATES -6,000,000.
TRANSFERS TO AFFILIATES (6,000,000)

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
EDWARD BANOS
49512802008120006125022840704349000
MARION BENSON
1553540444000007696011380208588000
KENNETH CUNNINGHAM
2029220598020007853082210278798000
PAT KEEL
3115190350010000041530350673000
RUBY BREWER
1640520403800008484079600220876000
RONALD DEAN SHORT III
1413150350000007284057210189320000
TROY THIBODEAUX
2653120625000006125000333937000
KAREN WATTS
237610070543000454607910313490000
BETH CHRISMER
1196560266250006023014110153715000
JAMES AYERS
820550100903999200041530127209000
CHRISSY RAMSEY
12054301311000008750122729000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS GOOD SHEPHERD HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7AAS THE SOLE MEMBER, GOOD SHEPHERD HEALTH SYSTEM, INC. HAS THE POWER TO APPROVE MEMBERS TO THE ORGANIZATION'S BOARD.
FORM 990, PART VI, SECTION A, LINE 7BA NUMBER OF DECISIONS OF THE ORGANIZATION ARE SUBJECT TO APPROVAL OF THE MEMBER OF THE ORGANIZATION. THESE RESERVED POWERS ARE STATED BELOW: A) APPROVE THE MEMBERS OF THE BOARD; B) APPROVE REMOVAL AND APPOINTMENTS TO FILL VACANCIES ON THE BOARD AND SET SIZE OF BOARD; C) APPROVE ELECTION AND REMOVAL OF OFFICERS OF THE CORPORATION AND ESTABLISH, TERMINATE AND/OR REVISE ALL EMPLOYMENT CONTRACTS, COMPENSATION AND BENEFITS PACKAGES OF THE OFFICERS OF THE CORPORATION REGARDLESS OF WHICH ENTITY ACTUALLY PAYS SUCH COMPENSATION OR BENEFITS; D) DESIGNATE THE FISCAL YEAR; E) APPROVE THE SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, OUTSIDE GENERAL LEGAL COUNSEL, AND OUTSIDE INVESTMENT ADVISORS; F) AMEND THE ARTICLES OF INCORPORATION; G) AMEND OR REPEAL THE BYLAWS; H) APPROVAL OF ALL MERGERS, ACQUISITIONS, CONSOLIDATIONS, OR AFFILIATIONS WITH OTHER ENTITIES, THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE SALE, MORTGAGE, OR ENCUMBRANCE OF ANY REAL PROPERTY OWNED BY THE CORPORATION; I) APPROVE THE DISSOLUTION OR LIQUIDATION OF THE CORPORATION; J) APPROVE CAPITAL PLANS, STRATEGIC PLANS, AND ANNUAL OPERATING AND CAPITAL BUDGETS; K) APPROVE ANY EXCEPTION TO THE CAPITAL BUDGET FOR A SINGLE ITEM OR RELATED ITEM THAT EXCEEDS $100,000 AND/OR APPROVE ANY AGGREGATE ANNUAL OPERATING EXPENDITURES THAT EXCEED THE BUDGET BY $50,000; L) SELECT OFFICIAL DEPOSITORIES FOR THE CORPORATION'S FUNDS; M) CREATE OR INVEST IN ANY SUBSIDIARY ENTITY OR ENTER INTO ANY PARTNERSHIP OR JOINT VENTURE; N) AUTHORIZE ANY LOANS, GUARANTEES, OR INCURRENCE OF DEBT; O) COMMENCE ANY LITIGATION OR OTHER LEGAL PROCEEDING, OR SETTLE, DISPOSE, OR TERMINATE OF ANY SUCH LITIGATION OR OTHER LEGAL PROCEEDING OR OF ANY CLAIM OR THREAT OF LITIGATION OR OTHER LEGAL PROCEEDING NOT FULLY COVERED BY INSURANCE; AND P) APPROVAL OF THE ADMISSION OF ADDITIONAL MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION PREPARES THE 990 INTERNALLY AND ENGAGES AN OUTSIDE ACCOUNTING FIRM TO REVIEW THE FORM 990. ONCE PREPARED AND REVIEWED, THE FORM IS REVIEWED BY INTERNAL ACCOUNTANTS AND BOARD OF DIRECTORS PRIOR TO FILING.
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, LINE 12C
A COMPENSATION SUBCOMMITTE OF THE BOARD NEGOTIATES CONTRACTS WITH EXECUTIVES THROUGH HAY GROUP. THIS SUBCOMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION AND BONUSES.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:TRANSFERS TO AFFILIATES -6,000,000. TOTAL TO FORM 990, PART XI, LINE 5: -6,000,000.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
GOOD SHEPHERD MEDICAL CENTER-LINDEN
404 N KAUFMAN STREETLINDENTX75563010829282HEALTHCARETX501(C)(3)LINE 3GOOD SHEPHERD HEALTH SYSTEM INC0
GOOD SHEPHERD HEALTH SYSTEM INC
700 E MARSHALL AVELONGVIEWTX75601752027157SUPPORT GSMCTX501(C)(3)LINE 11B, II0N/A
GOOD SHEPHERD MEDICAL CENTER-MARSHALL
811 SOUTH WASHINGTON AVENUEMARSHALLTX75670750974351HEALTHCARETX501(C)(3)LINE 3GOOD SHEPHERD HEALTH SYSTEM INC0
GOOD SHEPHERD MEDICAL CENTER
700 E MARSHALL AVELONGVIEWTX75601751041154HEALTHCARETX501(C)(3)LINE 3GOOD SHEPHERD HEALTH SYSTEM INC0
GSMC-LINDEN FOUNDATION INC
404 N KAUFMAN STREETLINDENTX75563200845127SUPPORTTX501(C)(3)LINE 11A, IGOOD SHEPHERD MEDICAL CENTER - LINDEN0
GOOD SHEPHERD FOUNDATION INC
700 E MARSHALL AVELONGVIEWTX75601200845127SUPPORTTX501(C)(3)LINE 11A, IGOOD SHEPHERD HEALTH SYSTEM INC0
MARSHALL HOSPITAL FOUNDATION INC
811 SOUTH WASHINGTON AVENUEMARSHALLTX75670752605699HEALTHCARETX501(C)(3)LINE 7GOOD SHEPHERD HEALTH SYSTEM INC0
MARSHALL HEALTH SERVICES INC
811 SOUTH WASHINGTON AVENUEMARSHALLTX75670752580686HEALTHCARETX501(C)(3)LINE 3GOOD SHEPHERD MEDICAL CENTER - MARSHALL0
GOOD SHEPHERD HOSPITAL AUXILIARY
700 E MARSHALL AVELONGVIEWTX75601237203364SUPPORTTX501(C)(3)LINE 9GOOD SHEPHERD MEDICAL CENTER0
CHAMPION EMS
2201 S MOBBERLY AVELONGVIEWTX75604752747708MED TRANSPORTTX501(C)(3)LINE 11B, IIGOOD SHEPHERD MEDICAL CENTER0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD AMBULATORY SURGICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1700 E MARSHALL AVEAddressLine1
CityLONGVIEWCity
StateTXState
ZIP Code75601ZIPCode
FieldValueIRS element (for citing)
EIN900259782EIN
Primary ActivityAMBULATORY SURGERYPrimaryActivity
Legal Domicile StateTXLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GSHS ENTERPRISES OPERATING 32 INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.00000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
GSHS ENTERPRISES INC
700 E MARSHALL AVELONGVIEWTX75601752027162HEALTHCARETXGOOD SHEPHERD HEALTH SYSTEM INCC
GOOD SHEPHERD HEALTH NETWORK
700 E MARSHALL AVELONGVIEWTX75601752554695INACTIVETXGOOD SHEPHERD MEDICAL CENTERC
NORTHEAST TEXAS PHYSICIAN SERVICES
700 E MARSHALL AVELONGVIEWTX75601752712245MGMT SERVICESTXGSHS ENTERPRISES INCC
GS PHYSICIAN SERVICES INC
700 E MARSHALL AVELONGVIEWTX75601752762417MEDICAL SERVICESTXGSHS ENTERPRISES INCC
GSHS ENTERPRISES HOLDING INC
700 E MARSHALL AVELONGVIEWDE75601510412465HOLDING COMPANYTXGSHS ENTERPRISES INCC
GSHS ENTERPRISES OPERATING 1
700 E MARSHALL AVELONGVIEWDE75601752954772HEALTHCARETXGSHS ENTERPRISES INCC
GSHS ENTERPRISES OPERATING 2
700 E MARSHALL AVELONGVIEWDE75601752954777HEALTHCARETXGSHS ENTERPRISES INCC
GSHS ENTERPRISES OPERATING 3
700 E MARSHALL AVELONGVIEWDE75601750896512HEALTHCARETXGSHS ENTERPRISES INCC
GSHS MEDICAL PLAZA LTD
700 E MARSHALL AVELONGVIEWTX75601752955157HEALTHCARETXGSHS ENTERPRISES OPERATING #1 INCC
GSHS MEDICAL PLAZA III LTD
700 E MARSHALL AVELONGVIEWTX75601731654263HEALTHCARETXGSHS ENTERPRISES OPERATING #3 INCC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg