2011-11-15T16:29:51-05:00 2010-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2010-01-01 750864040 WILSON N JONES MEMORIAL HOSPITAL WILS 9038704363 500 N HIGHLAND AVE SHERMAN TX 75092 MITCH MULVEHILL 2011-11-15 5013721040 2010 2016-03-07 17:11:31Z MITCH MULVEHILL 500 N HIGHLAND AVE SHERMAN TX 75092 107038055 false X WWW.WNJ.ORG X 1928 TX TO SUPPORT A CHARITABLE UNDERTAKING FOR THE RELIEF OF THE INDIGENT, SICK AND WOUNDED OF GRAYSON COUNTY, TEXAS, AND THE SOUTHERN PORTION OF OKLAHOMA. X 8 4 1143 94 151804 -396368 467326 108976 133039399 32716824 262902 2217465 1118974 425662 134888601 35468927 0 0 0 0 54374015 14304297 0 0 0 86603225 25689884 140977240 39994181 -6088639 -4525254 106902252 9960190 96238313 3956862 10663939 6003328 TO SUPPORT A CHARITABLE UNDERTAKING FOR THE RELIEF OF THE INDIGENT, SICK AND WOUNDED OF GRAYSON COUNTY, TEXAS, AND THE SOUTHERN PORTION OF OKLAHOMA. false false 23367720 0 32716824 INPATIENT AND OUTPATIENT SERVICES AS DESCRIBED ABOVE; 11,419 PATIENT DAYS AND 9,043 OUTPATIENT VISITS. 23367720 true true false false false false false false false true false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false true false true true false false false true 94 0 true 1143 true true true false false false false false false false false false X 8 4 false false false false false false false true true false false true true true true true true true false true false X BOB ALLEN CPA 9038704363 500 N HIGHLAND AVE SHERMAN TX 75092 PATRICK D FLYNN 40.0 X X 122290 0 0 THOMAS BOOTHE MD 1.0 X 0 0 0 CHIP ADAMSI CPA 1.0 X 0 0 0 PETER KLOPPERS CPA 1.0 X X 0 0 0 JOE RUSHING 1.0 X 0 0 0 DAVID SPROWL 1.0 X 0 0 0 GARY MARLOW MD 1.0 X 0 0 0 NATHAN WATSON MD 1.0 X 0 0 0 MITCHELL J MULVEHILL 40.0 X 76875 0 0 199165 0 0 1 false false false 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 7 54000 54976 108976 GENERAL ACUTE CARE 621110 32716824 32716824 0 0 32716824 157721 0 0 157721 0 0 900557 988173 -87616 -87616 0 0 -87616 72640699 70580955 2059744 2059744 0 0 0 REFERENCE LAB 623000 151804 0 151804 0 CAFETERIA 900099 116213 0 0 116213 VENDING 900099 9223 0 0 9223 236038 0 236038 513278 35468927 32716824 151804 431579 0 0 0 0 199165 0 199165 0 0 11939805 6169597 5770208 0 -16491 -8521 -7970 0 1170746 604954 565792 0 1011072 522446 488626 0 0 516221 266744 249477 0 281181 145293 135888 0 0 0 0 1956305 1010872 945433 0 29148 15062 14086 0 6213022 3210424 3002598 0 0 0 717516 370759 346757 0 6853 3541 3312 0 0 0 1245002 643324 601678 0 0 3086185 1594709 1491476 0 1177351 608367 568984 0 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 1922452 993378 929074 0 39994181 23367720 16626461 0 331210 25432 11087034 4642717 13352137 0 983269 0 2755867 0 2499665 1304191 0 0 59576507 0 2077525 1797472 14239038 2190378 106902252 9960190 15501339 3956862 75605000 0 4400511 0 731463 0 96238313 3956862 X 10239913 5880456 424026 122872 10663939 6003328 106902252 9960190 X -4525254 -135357 X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 2190378 true false true X true X true true true false false 725211 725211 0.01810 2866593 2069840 796753 0.07170 3591804 2069840 1521964 0.08980 3591804 2069840 1521964 0.08980 false 1828309 7714289 7714289 true true 1 1 WILSON N JONES MEMORIAL HOSPITAL

500 N HIGHLAND SHERMAN TX 75092

X X X WILSON N JONES MEMORIAL HOSPITAL 1 2 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 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 CURRENT ASSETS 2010-04-15 17219383 WORKING CAPITAL CALC 272025497 SHERMANGRAYSON HEALTH SYSTEM LLC 2800 NORTH DALLAS PARKWAY SUITE 20 PLANO TX 75093 LLC FIXED ASSETS 2010-04-15 64379851 USED BOOK VALUE 272025497 SHERMANGRAYSON HEALTH SYSTEM LLC 2800 NORTH DALLAS PARKWAY SUITE 2 PLANO TX 75093 LLC false true false false BECOME AN EMPLOYEE FOR A SUCCESSOR ORGANIZATION FORM 990, SCHEDULE N, PAGE 2, PART II, LINE 2B MITCH MULVEHILL, CFO FOR THE OLD HOSPITAL REMAINED CFO FOR THE NEW HOSPITAL. 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. 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 GALLAGHER PARK SURGICENTER 300 N HIGHLAND AVE SHERMAN TX 75092 621617436 AMBULATORY CTR TX NA RELATED 73497 0 false true 0.33520 HIGHLAND MSO INC 500 N HIGHLAND SHERMAN TX 75092 752592617 MEDICAL SVCS TX NA C CORPORATION 107903 0 1.00000 false false true false false false false false false true false false true true false true false false