GOOD SHEPHERD HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD HOSPITAL INC (EIN 75-1041154)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201232289349303508
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T15:10:46-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 751041154 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE GOOD SHEPHERD HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GOOD | NameControl |
| Phone | 9033152000 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAT KEEL | Name |
| Title | CFO/EXEC VP | Title |
| Phone | 9033151820 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PAT KEEL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 365914604 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GSMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1959 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2523 | TotalNbrEmployees |
| Total Nbr Volunteers | 160 | TotalNbrVolunteers |
| Total Gross UBI | 9944692 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -255212 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1029239 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1062766 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 357686699 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 361528374 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 347493 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1371673 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -35294 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1681200 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 359028137 | TotalRevenuePriorYear |
| Total Revenue Current Year | 362900667 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 103998751 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 111659850 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 247333967 | OtherExpensePriorYear |
| Other Expenses Current Year | 232810295 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 351332718 | TotalExpensesPriorYear |
| Total Expenses Current Year | 344470145 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7695419 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 18430522 | RevenuesLessExpensesCY |
| Total Assets BOY | 159034605 | TotalAssetsBOY |
| Total Assets EOY | 165107526 | TotalAssetsEOY |
| Total Liabilities BOY | 176091053 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 176601958 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -17056448 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -11494432 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 274276224 | Expense |
| Revenue | 361528374 | Revenue |
| Description | 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 MEMEBERS 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 2011, CHARITY CARE BASED ON ESTABLISHED RATES WAS RENDERED IN THE AMOUNT OF $81,079,000. THIS AMOUNT ENCOMPASSES THE CARE OF MORE THAN 11,920 PATIENT VISITS AND REPRESENTS APPROXIMATELY 23 PERCENT OF NET PATIENT REVENUE.- GOOD SHEPHERD PROVIDED CHARITY CARE, GOVERNMENT-SPONSORED INDIGENT HEALTHCARE AND OTHER COMMUNITY BENEFITS COSTING $85,634,000 OR MORE THAN 25 PERCENT OF THE TOTAL OPERATING EXPENSES.- GOOD SHEPHERD'S BAD DEBT EXPENSE FOR 2011 WAS MORE THAN $96,283,000 OR ALMOST 27 PERCENT OF NET PATIENT REVENUE.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 59 PERCENT OF THE MEDICAL CENTER'S GROSS PATIENT REVENUE. | Description |
| Total Program Service Expense | 274276224 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 109 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2523 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANET ANDERSEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9033155177 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| EDWARD D BANOS | ||||||||
| PRESIDENT/CEO | 2.00 | X | X | 0 | 695940 | 8409 | ||
| MARK BOON | ||||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | ||
| MICHAEL BURNS | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JOHN DIPASQUALE MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| KELLYN DRAYER | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| DAN ECKERMAN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| PAT FLORENCE | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| WILLIAM M HOLDA EDD | ||||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||
| CR MARTIN MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| LES MENDICELLO | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| HOMER ROCKMORE | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| LAWRENCE ROE MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| THOMAS P TIBILETTI | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| STAN UPCHURCH MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| PAT KEEL | ||||||||
| VICE PRESIDENT | 2.00 | X | 0 | 346520 | 4153 | |||
| MARION BENSON | ||||||||
| VICE PRESIDENT | 2.00 | 0 | 199754 | 8834 | X | |||
| KENNETH CUNNINGHAM | ||||||||
| VICE PRESIDENT | 2.00 | 0 | 262724 | 16074 | X | |||
| TROY THIBODEAUX | ||||||||
| VICE PRESIDENT | 2.00 | 0 | 327812 | 6125 | X | |||
| KAREN WATTS | ||||||||
| VICE PRESIDENT | 2.00 | 0 | 308153 | 5337 | X | |||
| BETH CHRISMER | ||||||||
| EXECUTIVE DIRECTOR | 2.00 | 0 | 146281 | 7434 | X | |||
| RUBY BREWER | ||||||||
| VICE PRESIDENT | 2.00 | 0 | 204432 | 16444 | X | |||
| RICHARD LEE HOLLADAY | ||||||||
| ANESTHESIA SUPERVISOR | 40.00 | 291063 | 0 | 12846 | X | |||
| ALAN GUEDRY | ||||||||
| CRNA | 40.00 | 280957 | 0 | 12370 | X | |||
| JOHN COX | ||||||||
| CRNA | 40.00 | 241202 | 0 | 15627 | X | |||
| JOHN E MOBLEY III | ||||||||
| CRNA | 40.00 | 238956 | 0 | 12490 | X | |||
| DAVID BARKER | ||||||||
| CRNA | 40.00 | 216727 | 0 | 8460 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1268905 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2345335 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 127169 | TotalOtherCompensation |
| Number Individuals GT100 K | 37 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GSHS ADMINISTRATIVE SERVICES ORG | |||||
| 700 MARSHALL AVE | LONGVIEW | TX | 75601 | ADMINISTRATIVE SERVICES | 38987376 |
| LONGVIEW EMERGENCY MEDICINE | |||||
| 9229 LBJ FREEWAY | DALLAS | TX | 75243 | ER PHYSICIANS | 9889446 |
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | DIETARY SERVICES | 5331524 |
| HOSPITAL HOUSEKEEPING SYSTEMS LTD | |||||
| PO BOX 826 | SAN ANTONIO | TX | 78293 | HOUSEKEEPING SERVICES | 5181973 |
| AMERICAN EXPRESS | |||||
| 2976 W CORPORATE LAKES BLVD | WESTON | FL | 33331 | CREDIT CARD SERVICES | 4522701 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 58 | NumberOfContractorsGT100K |
| Related Organizations | 1062766 | RelatedOrganizations |
| Total Contributions | 1062766 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 335604772 | 335604772 | |
| GOVERNMENT DSH AND TRA | 900099 | 10183838 | 10183838 | |
| LAB OUTREACH REVENUE | 621500 | 9544931 | 9544931 | |
| WELLNESS CENTER REVENU | 624100 | 3422186 | 3022425 | 399761 |
| LEASE REVENUE | 532420 | 1725252 | 1725252 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1047395 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1047395 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 361528374 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 272853 | TotalRevenueColumn |
| Exclusion | $272,853 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 384000 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 557380 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -173380 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -173380 | TotalRevenueColumn |
| Exclusion | -$173,380 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 812031 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2456557 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -1644526 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1644526 | TotalRevenueColumn |
| Exclusion | -$1,644,526 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CAFETERIA | 722210 | 1792993 | 1792993 |
| VENDING | 722210 | 58091 | 58091 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3496 | TotalRevenueColumn |
| Exclusion | $3,496 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1854580 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 362900667 | TotalRevenueColumn |
| Related Or Exempt Function Income | 353434766 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 9944692 | UnrelatedBusinessRevenue |
| Exclusion | -$1,541,557 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93497652 | Total |
| Program Services | 71311464 | ProgramServices |
| Management And General | 22186188 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 899673 | Total |
| Program Services | 701745 | ProgramServices |
| Management And General | 197928 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10489270 | Total |
| Program Services | 8181631 | ProgramServices |
| Management And General | 2307639 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6773255 | Total |
| Program Services | 5283139 | ProgramServices |
| Management And General | 1490116 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12500092 | Total |
| Management And General | 12500092 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29248 | Total |
| Management And General | 29248 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100618 | Total |
| Management And General | 100618 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53079170 | Total |
| Program Services | 37084761 | ProgramServices |
| Management And General | 15994409 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2230278 | Total |
| Program Services | 2801 | ProgramServices |
| Management And General | 2227477 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1310387 | Total |
| Program Services | 917271 | ProgramServices |
| Management And General | 393116 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3669681 | Total |
| Management And General | 3669681 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2182009 | Total |
| Program Services | 1507841 | ProgramServices |
| Management And General | 674168 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97912 | Total |
| Program Services | 68538 | ProgramServices |
| Management And General | 29374 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5063036 | Total |
| Management And General | 5063036 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7828390 | Total |
| Program Services | 5888348 | ProgramServices |
| Management And General | 1940042 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193995 | Total |
| Program Services | 135342 | ProgramServices |
| Management And General | 58653 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 96282726 | 96282726 | |
| MEDICAL SUPPLIES & EQUI | 43801984 | 43801984 | |
| LEASES AND RENTALS | 3144377 | 2201064 | 943313 |
| GAS & OIL | 196949 | 137864 | 59085 |
| EDUCATION EXPENSES | 98182 | 68727 | 29455 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1001261 | Total |
| Program Services | 700978 | ProgramServices |
| Management And General | 300283 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 344470145 | Total |
| Program Services | 274276224 | ProgramServices |
| Management And General | 70193921 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1715664 | BOY |
| EOY | -1374386 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5047036 | BOY |
| EOY | 11779589 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42147616 | BOY |
| EOY | 38634770 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7264954 | BOY |
| EOY | 7982049 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1443261 | BOY |
| EOY | 1215461 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 176013763 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 113313486 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68273081 | BOY |
| EOY | 62700277 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25264771 | BOY |
| EOY | 25760172 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6551661 | BOY |
| EOY | 7008576 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3046075 | BOY |
| EOY | 2787015 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1711814 | BOY |
| EOY | 8614003 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159034605 | BOY |
| EOY | 165107526 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19454880 | BOY |
| EOY | 24108435 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128727745 | BOY |
| EOY | 122515292 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1606359 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27908428 | BOY |
| EOY | 28371872 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 176091053 | BOY |
| EOY | 176601958 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -23046506 | BOY |
| EOY | -17007353 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5990058 | BOY |
| EOY | 5512921 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -17056448 | BOY |
| EOY | -11494432 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159034605 | BOY |
| EOY | 165107526 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 18430522 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -12868506 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $2,885 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 2885 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 18635 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 614744 | OtherCostOrOtherBasis |
| Book Value | 633379 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 93122254 | OtherCostOrOtherBasis |
| Depreciation | 51701868 | Depreciation |
| Book Value | 41420386 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5560306 | OtherCostOrOtherBasis |
| Depreciation | 5001161 | Depreciation |
| Book Value | 559145 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75207967 | OtherCostOrOtherBasis |
| Depreciation | 56610457 | Depreciation |
| Book Value | 18597510 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1489857 | OtherCostOrOtherBasis |
| Book Value | 1489857 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 62700277 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY RECEIVABLES | Description |
| Book Value | 8614003 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 8614003 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY PAYABLES | $4,889,573 |
| ESTIMATED SELF-INSURANCE COSTS, CURRENT | $213,189 |
| ESTIMATED SELF-INSURANCE COSTS | $3,431,992 |
| INTEREST RATE SWAP AGREEMENT | $18,075,456 |
| DUE TO AFFILIATES | $1,761,662 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 28371872 | TotalOfAmounts |
| Total Revenue | 362900667 | TotalRevenue |
| Total Expenses | 344470145 | TotalExpenses |
| Excess Or Deficit For Year | 18430522 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -392136 | NetUnrealizedGLOnInvestments |
| Other | -$12,476,370 | OtherAmount |
| Total Adjustments | -12868506 | TotalAdjustments |
| Excess Or Deficit Per FS | 5562016 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 267480732 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 557380 | OtherRevenues |
| Revenue Not Rptd F990 | 557380 | RevenueNotRptdF990 |
| Revenue Subtotal | 266923352 | RevenueSubtotal |
| Other Revenues Not Included | 95977315 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 95977315 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 362900667 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 248744798 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 557380 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 557380 | ExpensesNotRptdF990 |
| Expenses Subtotal | 248187418 | ExpensesSubtotal |
| Other Expenses Not Included | 96282726 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 96282726 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 344470144 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE MEDICAL CENTER HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE MEDICAL CENTER IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE MEDICAL CENTER FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE MEDICAL CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -3,077,546. TRANSFERS TO AFFILIATES -8,633,804. CONTRIBUTIONS OF OR FOR PROPERTY AND EQUIPMENT 774,883. CHANGE IN INTEREST IN NET ASSETS OF THE FOUNDATION -477,137. CONTRIBUTIONS IN NET ASSETS -1,062,766. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 557,380. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 96,282,726. INTEREST RATE SWAP -228,677. CONTRIBUTIONS 1,062,766. SHARE OF LOSSES IN JOINT VENTURE -1,661,604. GAIN ON SALE 17,077. INVESTMENT RETURN 501,530. OTHER REVENUE 3,497. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 557,380. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 96,282,726. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 225.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 225.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16440690 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 309198 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16131492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06500 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34532148 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34638878 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -106730 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2849169 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2659565 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 189604 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 53822007 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37607641 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16214366 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06580 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 42 | NumberOfActivitiesOrPrograms |
| Persons Served | 2635 | PersonsServed |
| Total Community Benefit Expense | 882318 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 882318 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 122 | NumberOfActivitiesOrPrograms |
| Persons Served | 5959 | PersonsServed |
| Total Community Benefit Expense | 1269225 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1269225 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 164 | NumberOfActivitiesOrPrograms |
| Persons Served | 8594 | PersonsServed |
| Total Community Benefit Expense | 2151543 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2151543 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00870 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 164 | NumberOfActivitiesOrPrograms |
| Persons Served | 8594 | PersonsServed |
| Total Community Benefit Expense | 55973550 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37607641 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18365909 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07450 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $19,526,137 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 97195138 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 71742439 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 25452699 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|
| 1 GOOD SHEPHERD ASC | |
| AMBULATORY SURGICAL | 0.31300 |
| 2 LONGVIEW ER ASSOC | |
| EMERGENCY ROOM COVERAGE | 1.00000 |
| 3 ACOL | |
| ANESTHESIA SERVICES | 1.00000 |
| 4 DCOL | |
| DIAGNOSTIC SERVICES | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD MEDICAL CENTER | BusinessNameLine1 |
Address Address
| 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) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation |
|---|
| PART I, L7 COL(F): BAD DEBT EXPENSE IN THE AMOUNT OF $96,282,726 WAS NOT INCLUDED IN TOTAL EXPENSE USED TO COMPUTE THE PERCENTAGE REPORTED IN PART I, LINE 7, COL(F).PART III, LINE 2:LINE 2 IS BAD DEBT EXPENSE FROM OUR AUDITED FINANCIAL STATEMENTS MULTIPLIED BY THE COMPUTED COST TO CHARGE RATIO. WE DID NOT INCLUDE ANY BAD DEBT AMOUNTS IN COMMUNITY BENEFIT. |
| PART II: 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 III, LINE 4: IN 2011, THE MEDICAL CENTER CHANGED ITS METHOD OF PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES. THE MAJOR CHANGES ASSOCIATED WITH ASU 2011-07 ARE TO RECLASSIFY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO PATIENT SERVICE REVENUE TO A DEDUCTION FROM PATIENT SERVICE REVENUE AND TO PROVIDE ENHANCED DISCLOSURES AROUND THE MEDICAL CENTERS POLICIES RELATED TO UNCOLLECTIBLE ACCOUNTS. THE CHANGE HAD NO EFFECT ON PRIOR YEAR NET ASSETS. SEE THE TABLES BELOW FOR CHANGES IN THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS (DEFICIT) AS A RESULT OF ADOPTING ASU 2011-07. |
| PART III, LINE 8: SOURCE OF INFORMATION ON LINE 6 IS THE FYE 09/30/11 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 9/30/2011 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 TEH GUARANTOR/PATIENT ON ANY ONE ACCOUNT, CHARITY WILL BE CONSIDERED AT 100%. WRITE-OFFS WILL BE MONITORED THROUGH A SPECIFIC CODE, TO MONITOR AND EVALUATE AS NEEDED FOR CHANGES OR UPDATES. IF AT ANYTIME RECOVERIES ARE OBTAINED AFTER WRITE-OFF, THE CHARITY ADJUSTMENT WILL BE REVERSED AND ADDITIONAL REVIEW OF THE ACCOUNT WILL BE REQUIRED. |
| PART VI, LINE 2: THE 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. |
| PART VI, LINE 6: 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. |
| PART VI, LINE 7: 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWARD D BANOS | |||||||||||||
| 0 | 495128 | 0 | 200812 | 0 | 0 | 0 | 6125 | 0 | 2284 | 0 | 704349 | 0 | 0 |
| PAT KEEL | |||||||||||||
| 0 | 311519 | 0 | 35001 | 0 | 0 | 0 | 0 | 0 | 4153 | 0 | 350673 | 0 | 0 |
| MARION BENSON | |||||||||||||
| 0 | 155354 | 0 | 44400 | 0 | 0 | 0 | 7696 | 0 | 1138 | 0 | 208588 | 0 | 0 |
| KENNETH CUNNINGHAM | |||||||||||||
| 0 | 202922 | 0 | 59802 | 0 | 0 | 0 | 7853 | 0 | 8221 | 0 | 278798 | 0 | 0 |
| TROY THIBODEAUX | |||||||||||||
| 0 | 265312 | 0 | 62500 | 0 | 0 | 0 | 6125 | 0 | 0 | 0 | 333937 | 0 | 0 |
| KAREN WATTS | |||||||||||||
| 0 | 237610 | 0 | 70543 | 0 | 0 | 0 | 4546 | 0 | 791 | 0 | 313490 | 0 | 0 |
| RUBY BREWER | |||||||||||||
| 0 | 164052 | 0 | 40380 | 0 | 0 | 0 | 8484 | 0 | 7960 | 0 | 220876 | 0 | 0 |
| RICHARD LEE HOLLADAY | |||||||||||||
| 288997 | 0 | 2066 | 0 | 0 | 0 | 10472 | 0 | 2374 | 0 | 303909 | 0 | 0 | 0 |
| ALAN GUEDRY | |||||||||||||
| 279160 | 0 | 1797 | 0 | 0 | 0 | 6568 | 0 | 5802 | 0 | 293327 | 0 | 0 | 0 |
| JOHN COX | |||||||||||||
| 239468 | 0 | 1734 | 0 | 0 | 0 | 9667 | 0 | 5960 | 0 | 256829 | 0 | 0 | 0 |
| JOHN E MOBLEY III | |||||||||||||
| 237181 | 0 | 1775 | 0 | 0 | 0 | 9140 | 0 | 3350 | 0 | 251446 | 0 | 0 | 0 |
| DAVID BARKER | |||||||||||||
| 215105 | 0 | 1622 | 0 | 0 | 0 | 0 | 0 | 8460 | 0 | 225187 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | EDWARD D. BANOS 40 HOURS KAREN WATTS 40 HOURS KENNETH CUNNINGHAM 40 HOURS MARION BENSON 40 HOURS TROY THIBODEAUX 40 HOURS RUBY BREWER 40 HOURS PAT KEEL 40 HOURS | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| GREGG COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION | |||||||
| 751865828 | 39753MDT2 | 2004-05-27 | 21770000 | FINANCING | 0 | 0 | 0 |
| GREGG COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION | |||||||
| 751865828 | 39753MDU9 | 2006-11-08 | 99276418 | ADVANCE REFUNDING OF BONDS | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Capital ExpendituresCapitalExpenditures | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|
| 21770000 | 21770000 | 0 | 0 | 1 | 1 | |||
| 99276418 | 0 | 1 | 1 | 1 | 96480044 | 636501 | 2159873 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | GOOD SHEPHERD HEALTH SYSTEM, 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 ENGAGES AN OUTSIDE FIRM TO AUDIT THE FINANCIALS. AN INTERNAL ACCOUNTANT PREPARES THE 990S AND THE RETURNS ARE REVIEWED EXTERNALLY. ONCE REVIEWED BY AN EXTERNAL ACCOUNTING FIRM, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND BOARD OF DIRECTORS PRIOR TO FILING. | |
| 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 12C | |
| A COMPENSATION SUBCOMMITTEE OF THE BOARD NEGOTIATES CONTRACTS WITH EXECUTIVES THROUGH HAY GROUP. THIS SUBCOMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION AND BONUSES. | FORM 990, PART VI, SECTION B, LINE 15 | |
| GOOD SHEPHERD MEDICAL CENTER DOES NOT MAKE ITS 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: | NET UNREALIZED LOSSES ON INVESTMENTS: -392,136. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -3,077,546. TRANSFERS TO AFFILIATES -8,633,804. CONTRIBUTIONS OF OR FOR PROPERTY AND EQUIPMENT 774,883. CHANGE IN INTEREST IN NET ASSETS OF THE FOUNDATION -477,137. CONTRIBUTIONS IN NET ASSETS -1,062,766. TOTAL TO FORM 990, PART XI, LINE 5: -12,868,506. | FORM 990, PART XI, LINE 5: |
| COMMUNITY BENEFITS BUDGET FY 2012 UNREIMBURSED COST OF PROVIDING CARE TO THE FINANCIALLY AND MEDICALLY INDIGENT $22,900,000 UNREIMBURSED COST OF PROVIDING MEDICARE, CHAMPUS AND OTHER GOVERNMENT-SPONSORED HEALTHCARE $49,600,000 UNREIMBURSED COST OF PROVIDING GOVERNMENT SPONSORED INDIGENT HEALTHCARE $19,000,000 EDUCATION OF PHYSICIANS, NURSES AND OTHER PROFESSIONAL HEALTHCARE PROVIDERS $1,400,000 EDUCATION OF PATIENTS $60,000 COMMUNITY HEALTH EDUCATION $820,000 TOTAL 2012 BUDGET FOR PROVIDING COMMUNITY HEALTH BENEFITS $93,786,000 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GOOD SHEPHERD HEALTH SYSTEM INC | |||||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752027157 | SUPPORT GSMC | TX | 501(C)(3) | 11B | N/A | 0 | |
| CHAMPION EMS | |||||||||||
| 2201 S MOBBERLY AVE | LONGVIEW | TX | 75604 | 752747708 | MED TRANSPORT | TX | 501(C)(3) | 11B | 1 | GOOD SHEPHERD HOSPITAL INC | |
| GOOD SHEPHERD HOSPITAL AUXILIARY | |||||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 237203364 | SUPPORT | TX | 501(C)(3) | 11B | 1 | GOOD SHEPHERD HOSPITAL INC | |
| GOOD SHEPHERD FOUNDATION INC | |||||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752056700 | SUPPORT | TX | 501(C)(3) | 11B | 1 | GOOD SHEPHERD HOSPITAL INC | |
| GSHS ADMINISTRATIVE SERVICES ORGANIZATION | |||||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 861132471 | ADMIN SUPPORT | TX | 501(C)(3) | 11B | 0 | GOOD SHEPHERD HEALTH SYSTEM INC | |
| GOOD SHEPHERD MEDICAL CENTER - MARSHALL | |||||||||||
| 811 SOUTH WASHINGTON AVE | MARSHALL | TX | 75670 | 752605699 | HEALTHCARE | TX | 501(C)(3) | 11B | 0 | GOOD SHEPHERD HEALTH SYSTEM INC | |
| GOOD SHEPHERD MEDICAL CENTER - LINDEN | |||||||||||
| 404 N KAUFMAN STREET | LINDEN | TX | 75563 | 010829282 | HEALTHCARE | TX | 501(C)(3) | 11B | 0 | GOOD SHEPHERD HEALTH SYSTEM INC | |
| GSMC - LINDEN FOUNDATION INC | |||||||||||
| 404 N KAUFMAN STREET | LINDEN | TX | 75563 | 200845127 | SUPPORT | TX | 501(C)(3) | 11B | 0 | GOOD SHEPHERD MEDICAL CENTER - LINDEN INC | |
| MARSHALL HOSPITAL FOUNDATION INC | |||||||||||
| 811 SOUTH WASHINGTON AVE | MARSHALL | TX | 75670 | 752605699 | SUPPORT | TX | 501(C)(3) | 11B | 0 | HARRISON COUNTY HOSPITAL ASSOCIATION | |
| MARSHALL HEALTH SERVICES INC | |||||||||||
| 811 SOUTH WASHINGTON AVE | MARSHALL | TX | 75670 | 752580686 | HEALTHCARE | TX | 501(C)(3) | 11B | 0 | HARRISON COUNTY HOSPITAL ASSOCIATION | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GS AMBULATORY SURGICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| 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) |
|---|---|---|
| Primary Activity | SURGERY | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
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 | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.00000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| GSHS ENTERPRISES INC | ||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752027162 | HEALTHCARE | TX | GOOD SHEPHERD HEALTH SYSTEM INC | C |
| GOOD SHEPHERD HEALTH NETWORK | ||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752554695 | INACTIVE | TX | GOOD SHEPHERD HOSPITAL INC | C |
| NORTHEAST TEXAS PHYSICIAN SE | ||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752712245 | MGMT SERVICES | TX | GSHS ENTERPRISES INC | C |
| GS PHYSICIAN SERVICES INC | ||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752762417 | MEDICAL SERVICES | TX | GSHS ENTERPRISES INC | C |
| GSHS ENTERPRISES HOLDING INC | ||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 510412465 | HOLDING COMPANY | DE | GSHS ENTERPRISES INC | C |
| GSHS ENTERPRISES OPERATING 1 | ||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752954772 | HEALTHCARE | DE | GSHS ENTERPRISES INC | C |
| GSHS ENTERPRISES OPERATING 2 | ||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752954777 | HEALTHCARE | DE | GSHS ENTERPRISES INC | C |
| GSHS ENTERPRISES OPERATING 3 | ||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 710896512 | HEALTHCARE | DE | GSHS ENTERPRISES INC | C |
| GSHS MEDICAL PLAZA LTD | ||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 752955157 | HEALTHCARE | TX | GSHS ENTERPRISES OPERATING #1 INC | C |
| GSHS MEDICAL PLAZA III LTD | ||||||||
| 700 E MARSHALL AVE | LONGVIEW | TX | 75601 | 731654263 | HEALTHCARE | TX | GSHS ENTERPRISES OPERATING #3 INC | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 881391 | AmountInvolved |
| Method Of Amt Determination | CASH METHOD | MethodOfAmtDetermination |