WILSON N JONES MEMORIAL HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- WILSON N JONES MEMORIAL HOSPITAL (EIN 75-0864040)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201143199349309764
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T16:29:51-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | 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 | PO BOX 3667 | AddressLine1 |
| City | LITTLE ROCK | City |
| State | AR | State |
| ZIP Code | 722033667 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 750864040 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILSON N JONES MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WILS | NameControl |
| Phone | 9038704363 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N HIGHLAND AVE | AddressLine1 |
| City | SHERMAN | City |
| State | TX | State |
| ZIP Code | 75092 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MITCH MULVEHILL | Name |
| Title | CFO | Title |
| Date Signed | 2011-11-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5013721040 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MITCH MULVEHILL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N HIGHLAND AVE | AddressLine1 |
| City | SHERMAN | City |
| State | TX | State |
| ZIP Code | 75092 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 107038055 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WNJ.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1928 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TO SUPPORT A CHARITABLE UNDERTAKING FOR THE RELIEF OF THE INDIGENT, SICK AND WOUNDED OF GRAYSON COUNTY, TEXAS, AND THE SOUTHERN PORTION OF OKLAHOMA. | ActivityOrMissionDescription |
| Termination Or Contraction | X | TerminationOrContraction |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1143 | TotalNbrEmployees |
| Total Nbr Volunteers | 94 | TotalNbrVolunteers |
| Total Gross UBI | 151804 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -396368 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 467326 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 108976 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 133039399 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 32716824 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 262902 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2217465 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1118974 | OtherRevenuePriorYear |
| Other Revenue Current Year | 425662 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 134888601 | TotalRevenuePriorYear |
| Total Revenue Current Year | 35468927 | 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 | 54374015 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 14304297 | 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 | 86603225 | OtherExpensePriorYear |
| Other Expenses Current Year | 25689884 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 140977240 | TotalExpensesPriorYear |
| Total Expenses Current Year | 39994181 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6088639 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4525254 | RevenuesLessExpensesCY |
| Total Assets BOY | 106902252 | TotalAssetsBOY |
| Total Assets EOY | 9960190 | TotalAssetsEOY |
| Total Liabilities BOY | 96238313 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3956862 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10663939 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6003328 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO SUPPORT A CHARITABLE UNDERTAKING FOR THE RELIEF OF THE INDIGENT, SICK AND WOUNDED OF GRAYSON COUNTY, TEXAS, AND THE SOUTHERN PORTION OF OKLAHOMA. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 23367720 | Expense |
| Grants | 0 | Grants |
| Revenue | 32716824 | Revenue |
| Description | INPATIENT AND OUTPATIENT SERVICES AS DESCRIBED ABOVE; 11,419 PATIENT DAYS AND 9,043 OUTPATIENT VISITS. | Description |
| Total Program Service Expense | 23367720 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | true | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 94 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1143 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BOB ALLEN CPA | NamePerson |
| Telephone Number | 9038704363 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N HIGHLAND AVE | AddressLine1 |
| City | SHERMAN | City |
| State | TX | State |
| ZIP Code | 75092 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| PATRICK D FLYNN | ||||||
| CEO, DIRECTOR | 40.0 | X | X | 122290 | 0 | 0 |
| THOMAS BOOTHE MD | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| CHIP ADAMSI CPA | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| PETER KLOPPERS CPA | ||||||
| DIRECTOR, SECRETARY | 1.0 | X | X | 0 | 0 | 0 |
| JOE RUSHING | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| DAVID SPROWL | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| GARY MARLOW MD | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| NATHAN WATSON MD | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| MITCHELL J MULVEHILL | ||||||
| CFO | 40.0 | X | 76875 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 199165 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| REPUBLIC EMERGENCY SERVICES | |
| MEDICAL | 283071 |
| REPUBLIC HOSPITALISTS SRVCS PLCC | |
| MEDICAL | 333233 |
| KING SPAULDING LLP | |
| ATTORNEYS | 354606 |
| H C BECK LTD | |
| ARCHITECT | 349751 |
| BKD LLP | |
| AUDIT/TAX | 249080 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Related Organizations | 54000 | RelatedOrganizations |
| All Other Contributions | 54976 | AllOtherContributions |
| Total Contributions | 108976 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | GENERAL ACUTE CARE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 32716824 | TotalRevenueColumn |
| Related Or Exempt Function Income | 32716824 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 32716824 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 157721 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $157,721 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 900557 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 988173 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -87616 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -87616 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$87,616 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 72640699 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 70580955 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2059744 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2059744 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| REFERENCE LAB | 623000 | 151804 | 0 | 151804 | $0 |
| CAFETERIA | 900099 | 116213 | 0 | 0 | $116,213 |
| VENDING | 900099 | 9223 | 0 | 0 | $9,223 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 236038 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Exclusion | $236,038 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 513278 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35468927 | TotalRevenueColumn |
| Related Or Exempt Function Income | 32716824 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 151804 | UnrelatedBusinessRevenue |
| Exclusion | $431,579 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199165 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 199165 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11939805 | Total |
| Program Services | 6169597 | ProgramServices |
| Management And General | 5770208 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -16491 | Total |
| Program Services | -8521 | ProgramServices |
| Management And General | -7970 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1170746 | Total |
| Program Services | 604954 | ProgramServices |
| Management And General | 565792 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1011072 | Total |
| Program Services | 522446 | ProgramServices |
| Management And General | 488626 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 516221 | Total |
| Program Services | 266744 | ProgramServices |
| Management And General | 249477 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 281181 | Total |
| Program Services | 145293 | ProgramServices |
| Management And General | 135888 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1956305 | Total |
| Program Services | 1010872 | ProgramServices |
| Management And General | 945433 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29148 | Total |
| Program Services | 15062 | ProgramServices |
| Management And General | 14086 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6213022 | Total |
| Program Services | 3210424 | ProgramServices |
| Management And General | 3002598 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 717516 | Total |
| Program Services | 370759 | ProgramServices |
| Management And General | 346757 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6853 | Total |
| Program Services | 3541 | ProgramServices |
| Management And General | 3312 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1245002 | Total |
| Program Services | 643324 | ProgramServices |
| Management And General | 601678 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3086185 | Total |
| Program Services | 1594709 | ProgramServices |
| Management And General | 1491476 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1177351 | Total |
| Program Services | 608367 | ProgramServices |
| Management And General | 568984 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBTS | 5803399 | 5803399 | 0 | 0 |
| DRUGS | 1249665 | 645733 | 603932 | 0 |
| EQUIPMENT | 515272 | 266254 | 249018 | 0 |
| REPAIRS & MAINTENANCE | 917137 | 473908 | 443229 | 0 |
| RECRUITMENT | 53175 | 27477 | 25698 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1922452 | Total |
| Program Services | 993378 | ProgramServices |
| Management And General | 929074 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39994181 | Total |
| Program Services | 23367720 | ProgramServices |
| Management And General | 16626461 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 331210 | BOY |
| EOY | 25432 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11087034 | BOY |
| EOY | 4642717 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13352137 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 983269 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2755867 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2499665 | BOY |
| EOY | 1304191 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 0 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 0 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59576507 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2077525 | BOY |
| EOY | 1797472 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14239038 | BOY |
| EOY | 2190378 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106902252 | BOY |
| EOY | 9960190 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15501339 | BOY |
| EOY | 3956862 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75605000 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4400511 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 731463 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96238313 | BOY |
| EOY | 3956862 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10239913 | BOY |
| EOY | 5880456 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 424026 | BOY |
| EOY | 122872 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10663939 | BOY |
| EOY | 6003328 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106902252 | BOY |
| EOY | 9960190 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -4525254 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -135357 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Federal Grant Audit Required | false | 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings |
Other Assets OtherAssets (10 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS LIMITED AS TO USE | 171900 |
| CONST. SINKING FUND & RESERVE | 0 |
| INVESTMENT IN ASC | 0 |
| INVESTMENT IN NTHCL COOP | 0 |
| INVESTMENT IN VHA ACQ COMPANY | 0 |
| OTHER RECEIVABLES | 99152 |
| MERRILL LYNCH - VHA REBATE | 0 |
| INVESTMENT IN HIGHLAND MSO | 0 |
| DUE FROM FOUNDATION | 2422 |
| DUE TO THR-LHP | 1916904 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2190378 | TotalBookValueOtherAssets |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | false | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 725211 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 725211 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01810 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2866593 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2069840 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 796753 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07170 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3591804 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2069840 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1521964 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08980 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3591804 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2069840 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1521964 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08980 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,828,309 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 7714289 | AmountReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 7714289 | MedicareSurplusOrShortfall |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| 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 | WILSON N JONES MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N HIGHLAND | AddressLine1 |
| City | SHERMAN | City |
| State | TX | State |
| ZIP Code | 75092 | 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 | WILSON N JONES MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| HEALTH CENTER ON 1417 | ||||
| 1000 S FM 1417 | SHERMAN | TX | 75092 | OUTPATIENT PHYSICIAN CLINIC |
| WORKMED | ||||
| 501 N HIGHLAND SUITE 300 | SHERMAN | TX | 75092 | OCCUPATIONAL MEDICAL CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST | PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE IN THE AMOUNT OF $5,803,399 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. |
| RATIO USED IN FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS | PART I, LINE 7 | THE HOSPITAL USES THE COST TO CHARGE RATIO CALCULATED USING WORKSHEET 2. |
| BAD DEBT EXPENSE AND COSTING METHODOLOGY FOR LINES 2 AND 3 | PART III, LINE 4 | THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED FOR LINE 2. IN CALCULATING LINE 3, THE ESTIMATED POVERTY LEVEL FOR THE COMMUNITY THE HOSPITAL SERVES WAS USED AFTER ADJUSTING FOR THE PERCENTAGE OF PATIENTS WHO ACTUALLY RECEIVED FINANCIAL ASSISTANCE. |
| WHY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT | PART III, LINE 8 | THE COST TO CHARGE RATIO WAS USED TO CALCULATE THE AMOUNT ON LINE 6. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL ENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. HOWEVER, THE HOSPITAL HAS NOT REPORTED THE MEDICARE SHORTFALL IN PART I. |
| COLLECTION POLICY AND PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED | PART III, LINE 9B | ONCE IT IS DETERMINED THAT A PATIENT IS ELIGIBLE FOR CHARITY CARE, ALL COLLECTION EFFORTS CEASE. |
| NEEDS ASSESSMENT | PART VI, LINE 2 | THE HOSPITAL DETERMINES THE NEEDS OF THE COMMUNITY IT SERVES BY REVIEWING THE OVERALL MEDICAL NEEDS OF ITS PATIENTS, DISCUSSIONS WITH COMMUNITY LEADERS AND GOVERNMENTAL HEALTH STATISTICS. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI, LINE 3 | THE HOSPITAL POSTS NOTICE OF ITS FINANCIAL ASSISTANCE PROGRAM AND HOW A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELOR, PATIENT FINANCIAL COORDINATOR AND/OR COLLECTION SUPERVISOR WILL ATTEMPT TO IDENTIFY ALL CASES THAT MIGHT QUALIFY AS ELIGIBLE FOR FINANCIAL ASSISTANCE AT THE TIME OF ADMISSION. SUCH PATIENTS WILL BE ASKED TO COMPLETE A FINANCIAL APPLICATION. THE FINANCIAL COUNSELOR, PATIENT FINANCIAL COORDINATOR AND/OR COLLECTION SUPERVISOR WILL REFER THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTNACE FROM A GOVERNMENTAL PROGRAM TO THE APPROPRIATE PROGRAM OR AGENCY, SUCH AS MEDICAID. |
| COMMUNITY INFORMATION | PART VI, LINE 4 | WILSON N. JONES MEDICAL CENTER IS A NOT-FOR-PROFIT FACILITY LICENSED FOR 241 BEDS. WE SERVE FOUR COUNTIES OF OF NORTH TEXAS AND SOUTHERN OKLAHOMA AND ADHERE TO A MISSION OF CARING FOR THE ILL AND IMPROVING THE HEALTH OF OUR COMMUNITY. WNJ HAS BEEN IN OPERATION FOR OVER 75 YEARS, AND HAS MANAGED TO GROW BOTH PHYSICALLY AND TECHNOLOGICALLY. WNJ OFFERS A VARIETY OF SERVICES TO THE COMMUNITY INCLUDING VARIOUS CLASSES, PROGRAMS, SEMINARS, SPEAKER'S BUREAU, AND HEALTH FAIRS TO INFORM YOU ABOUT YOUR HEALTH. PERIODICALLY, WE OFFER SCHEDULED SCREENINGS AND SPECIAL HEALTH CARE EVENTS. WE CARE ABOUT THE COMMUNITY AND WANT TO DO OUR BEST TO KEEP IT HEALTHY. |
| AFFILIATED HEALTH CARE SYSTEM | WILSON N JONES MEMORIAL HOSPITAL AND ITS AFFILIATES PROVIDE INPATIENT, OUTPAITENT AND EMERGENCY CARE SERVICES TO PATIENTS IN GRASON COUNTY, TEXAS, SOUTHERN PORTIONS OF OKLAHOMA AND SURROUNDING AREAS. | |
| STATE FILING OF COMMUNITY BENEFIT REPORT |
Schedule N IRS990ScheduleN
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liquidation Table | LiquidationTable |
Disposition Table DispositionTable (2 entries)
| Description Of AssetDescriptionOfAsset | Date Of DistributionDateOfDistribution | FMV Of AssetFMVOfAsset | Method Of FMV DeterminationMethodOfFMVDetermination | EINEIN | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | IRC SectionIRCSection |
|---|---|---|---|---|---|---|---|---|---|
| SHERMANGRAYSON HEALTH SYSTEM LLC | |||||||||
| CURRENT ASSETS | 2010-04-15 | 17219383 | WORKING CAPITAL CALC | 272025497 | 2800 NORTH DALLAS PARKWAY SUITE 20 | PLANO | TX | 75093 | LLC |
| SHERMANGRAYSON HEALTH SYSTEM LLC | |||||||||
| FIXED ASSETS | 2010-04-15 | 64379851 | USED BOOK VALUE | 272025497 | 2800 NORTH DALLAS PARKWAY SUITE 2 | PLANO | TX | 75093 | LLC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2 |
| Employee Of Successor2 | true | EmployeeOfSuccessor2 |
| Owner Of Successor2 | false | OwnerOfSuccessor2 |
| Receive Compensation2 | false | ReceiveCompensation2 |
Form990 Schedule N Part III Form990ScheduleNPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BECOME AN EMPLOYEE FOR A SUCCESSOR ORGANIZATION | Identifier |
| Return Reference | FORM 990, SCHEDULE N, PAGE 2, PART II, LINE 2B | ReturnReference |
| Explanation | MITCH MULVEHILL, CFO FOR THE OLD HOSPITAL REMAINED CFO FOR THE NEW HOSPITAL. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990 REVIEW PROCESS | CORE FORM, PAGE 6, PART VI, SECTION B, QUESTION 11B | THE CONTROLLER AND CFO OF WILSON N. JONES MEMORIAL HOSPITAL REVIEW FORM 990 TO ENSURE ACCURACY. |
| COMPENSATION DETERMINATION PROCESS | CORE FORM, PAGE 6, PART VI, SECTION B, QUESTION 15A | IN EARLY 2007, THE CEO'S COMPENSATION AMOUNT WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS FOR WILSON N JONES MEMORIAL HOSPITAL. |
| AVAILABILITY OF CERTAIN ORGANIZATION DOCUMENTS | CORE FORM, PAGE 6, PART VI, SECTION C, QUESTION 19 | WILSON N JONES MEMORIAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| PRACTICE FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY | CORE FORM, PAGE 6, PART VI, SECTION B, QUESTION 12C | WILSON N JONES MEMORIAL HOSPITAL EMPLOYS A COMPLIANCE OFFICER WHO MONITORS ANY POTENTIAL CONFLICTS THAT ARE DISCLOSED BY BOARD MEMBERS, EMPLOYEES, AND OTHERS INVOLVED IN DECISION MAKING AT THE ORGANIZATION. |
| CHANGE IN NET ASSETS | FORM 990, PAGE 12, PART XI, LINE 5 | OTHER CHANGE IN NET ASSETS DUE TO AN UNREALIZED GAIN ON INVESTMENT INCOME OF $100,668 AND DUE TO THE SALE OF ASSETS TO SHERMAN/GRAYSON HEALTH SYSTEM, LLC. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| HILLCREST HEALTH SERVICES INC | |||||||||
| 500 N HIGHLAND AVE | SHERMAN | TX | 75092 | 752603581 | HEALTHCARE | TX | 501(C)(3) | 9 | NA |
| WILSON N JONES MEM HOSP FOUNDATION | |||||||||
| 500 N HIGHLAND AVE | SHERMAN | TX | 75092 | 752357818 | SUPPORT | TX | 501(C)(3) | 9 | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GALLAGHER PARK SURGICENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 N HIGHLAND AVE | AddressLine1 |
| City | SHERMAN | City |
| State | TX | State |
| ZIP Code | 75092 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621617436 | EIN |
| Primary Activity | AMBULATORY CTR | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 73497 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.33520 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLAND MSO INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N HIGHLAND | AddressLine1 |
| City | SHERMAN | City |
| State | TX | State |
| ZIP Code | 75092 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752592617 | EIN |
| Primary Activity | MEDICAL SVCS | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORPORATION | TypeOfEntity |
| Share Of Total Income | 107903 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |