2026-08-13T08:27:14+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 14221 DALLAS PARKWAY SUITE 400 DALLAS TX 75254 990 2024-10-01 463230865 GRAYSON COUNTY HEALTH CLINIC GRAY 9037712846 809 GALLAGHER DR STE D SHERMAN TX 75090 SONYA TORRES ADMINISTRATOR 9037712846 2026-08-13 true ANDREW J GRAY P01517705 9727028262 2026-08-11 2024 2025-03-06 01:10:19Z SONYA TORRES 809 GALLAGHER DR STE D SHERMAN TX 75090 2660699 false X WWW.GRAYSONCLINIC.COM X 2013 TX GRAYSON COUNTY HEALTH CLINIC IS DEDICATED TO PROVIDING HIGH QUALITY AND AFFORDABLE PRIMARY AND PREVENTIVE CARE TO THE UNDERSERVED RESIDENT OF GRAYSON COUNTY. 5 5 9 9 0 0 0 2255151 2474264 6225 186435 0 0 2261376 2660699 2366651 2347110 0 0 741797 813275 0 0 764768 456358 3873216 3616743 -1611840 -956044 7521016 6790506 204952 451913 7316064 6338593 GRAYSON COUNTY HEALTH CLINIC IS DEDICATED TO PROVIDING HIGH QUALITY AND AFFORDABLE PRIMARY AND PREVENTIVE CARE TO THE UNDERSERVED RESIDENT OF GRAYSON COUNTY. OUR CLINIC WILL ALLOW RESIDENTS TO RECEIVE THE MEDICAL CARE THEY NEED, WHEN THEY NEED IT, WITHOUT HAVING TO USE A HOSPITAL EMERGENCY ROOM. THE CLINIC IS A COLLABORATION BETWEEN TEXOMA MEDICAL CENTER IN DENISON, TX, WILSON AND JONES REGIONAL MEDICAL CENTER IN SHERMAN, TX AND GRAYSON COUNTY. false false 3463604 2347110 2474264 PRIMARY CARE MEDICAL SERVICES FOR UNINSURED AND UNDERSERVED RESIDENTS OF GRAYSON COUNTY. 3463604 true false false false false false false false false false true false false false true true true 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 false false false false false false true 35 0 true 9 true false false false false false false false false false false false false X 5 5 false true false false true true true true true false false false false true true true true true false false false false X SONYA TORRES 9033575396 809 GALLAGHER DR STE D SHERMAN TX 75090 X SEAN DARDEAU BOARD CHAIR 0.1 0.0 X X 0 0 0 BRUCE DAWSEY DIRECTOR 0.1 0.0 X 0 0 0 CHIP ADAMI DIRECTOR 0.1 0.0 X 0 0 0 KYLE DESHOTELS DIRECTOR 0.1 0.0 X 0 0 0 RON MORGAN DIRECTOR 0.1 0.0 X 0 0 0 SONYA TORRES ADMINISTRATOR 40.0 0.0 X 0 0 0 0 0 0 0 false false false 0 0 PATIENT SERVICES 622110 2474264 2474264 0 0 0 0 2474264 186435 186435 0 0 0 0 0 0 0 0 0 2660699 2474264 0 186435 2347110 2347110 0 0 626242 550635 75607 142653 125430 17223 44380 39022 5358 3740 3740 97403 88932 8471 0 2518 2214 304 34169 30044 4125 68842 60531 8311 147906 130049 17857 961 845 116 55 48 7 1204 1204 10368 9116 1252 MEDICAL SUPPLIES 54657 48058 6599 DUES & SUBCRIPTIONS 10293 9050 1243 CREDIT CARD PROCESSING FEES 9371 8240 1131 LAB FEES 7542 6631 911 7329 6445 884 0 3616743 3463604 153139 0 7363231 817978 65037 5646214 79508 87774 0 0 0 0 84849 79252 13240 5597 0 0 0 232943 7521016 6790506 0 204902 0 0 204952 247011 204952 451913 X 7316064 6338593 7316064 6338593 7521016 6790506 -956044 -4516 -16911 0 X false true true false X SCHEDULE A, PART I, LINE 3 REASON FOR PUBLIC CHARITY STATUS GRAYSON COUNTY HEALTH CLINIC IS CLASSIFIED AS A HOSPITAL FOR EXEMPT PURPOSES ONLY. THE ORGANIZATION IS NOT A LICENSED HOSPITAL UNDER TEXAS STATE LAW AND THEREFORE NOT REQUIRED TO COMPLETE SCHEDULE H. 9877 4280 5597 39618 39618 0 35354 35354 0 5597 FEDERAL INCOME TAXES DUE TO GRAYSON COUNTY LEASE LIABILITIES 247011 247011 X 6712256 -4516 4321003 0 4316487 2395769 264930 264930 2660699 7673827 4321003 1011 4322014 3351813 264930 264930 3616743 SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS OTHER - 264930 SCHEDULE D, PART XII, LINE 2(D) OTHER EXPENSES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 DEPRECIATION ADJUSTMENT - 1011 SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS OTHER - 264930 true GCIH CLAIMS, GCIH PHARMACEUTICAL CLAIMS, PRESCRIPTION ASSISTANCE, CONTRACT INDIGENT HEALTH ADMIN 1895 2347110 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS GRAYSON COUNTY HEALTH CLINIC WAS ESTABLISHED TO OPERATE THE INDIGENT HEALTH CARE PROGRAM (IHCP) FOR LOW-INCOME RESIDENTS OF GRAYSON COUNTY. GRAYSON COUNTY HEALTH CLINIC ACCEPTS GRAYSON COUNTY INDIGENT HEALTH CARE AND CERTAIN MEDICAID PLANS. IF THEY ARE NOT ON ONE OF THE MENTIONED PLANS, THEN THEY MUST SHOW PROOF OF 30 DAYS OF INCOME. FORM 990, PART VI, LINE 3 DELEGATION OF MANAGEMENT DUTIES THE ADMINISTRATOR'S COMPENSATION IS MANAGED THROUGH A LEASE AGREEMENT WITH TEXOMA MEDICAL CENTER. PER IRS GUIDANCE, THE COMPENSATION PAID PER THE LEASING AGREEMENT IS NOT SHOWN ON FORM 990, PART VII, FOR THE 2024 CALENDAR YEAR FOR THIS INDIVIDUAL: SONYA TORRES $98,971 FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE ORGANIZATION HAS 2 MEMBERS. THE INITIAL MEMBERS ARE UHS OF TEXOMA, INC. D/B/A TEXOMA MEDICAL CENTER (TMC) AND SHERMAN/GRAYSON HOSPITAL, LLC D/B/A WILSON N. JONES REGIONAL MEDICAL CENTER (WNJ). FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY PER THE CORPORATION BYLAWS, THE MEMBERS HAVE THE POWER TO APPOINT TWO REPRESENTATIVES FROM THE GENERAL COMMUNITY TO THE BOARD. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS MEMBERS HAVE THE FOLLOWING POWERS, WHICH SHALL BE LIMITED TO APPROVAL OF THE FOLLOWING ACTIONS AS PROPOSED BY THE BOARD OF DIRECTORS: 1. APPROVAL OF MATERIAL AMENDMENTS OF THE CERTIFICATE OF FORMATION OR BYLAWS OF THE CORPORATION 2. APPROVAL OF THE ADMISSION OR REMOVAL OF ANY MEMBER 3. APPROVAL OF THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH OR INTO ANY PERSON OR ENTITY; THE SALE, LEASE, ENCUMBRANCE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY FACILITY OR DIVISION OPERATED BY THE CORPORATION; THE DISSOLUTION OF CONTROLLED SUBSIDIARIES CORPORATION; THE CREATION OR DISSOLUTION OF CONTROLLED SUBSIDIARIES OF THE CORPORATION; THE FILING FOR BANKRUPTCY OR INSOLVENCY OF THE CORPORATION OR ITS CONTROLLED SUBSIDIARIES; THE PLAN OF DIVISION OF THE CORPORATION; OR ANY MATERIAL ALTERATION OF THE PURPOSE OF BUSINESS OF THE CORPORATION, WHETHER OR NOT REQUIRING AMENDMENT OF THE CERTIFICATE OF FORMATION OR BYLAWS OF THE CORPORATION 4. APPROVAL OF ANY CHANGE IN THE NAME OF THE CORPORATION 5. APPROVAL OF ANY CHANGE IN THE TYPE OF SERVICES PROVIDED BY THE CORPORATION. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE BOARD CHAIR REVIEWS THE 990 BEFORE FILING WITH THE IRS. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. SHOULD ANY POTENTIAL CONFLICTS OF INTEREST BE DISCLOSED, THE BOARD MEMBER OR OFFICER WOULD BE ASKED TO REFRAIN FROM PARTICIPATION IN AND DELIBERATION OR DECISION WITH REGARD TO MATTERS AFFECTED BY THE RELATIONSHIP. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC GRAYSON COUNTY HEALTH CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC DURING REGULAR BUSINESS HOURS AT THE ORGANIZATION'S ADDRESS. FORM 990, PART V, LINE 2A SALARIES AND WAGES PAID SALARIES AND WAGES OF GRAYSON COUNTY HEALTH CLINIC ARE PAID BY TMC AND WNJ AND ARE INCLUDED ON THE FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS FOR TMC AND WNJ. THE CLINIC REIMBURSES TMC AND WNJ FOR PAYROLL AND BENEFITS FOR LEASED EMPLOYEES.