2022-05-12T09:31:09-07:00 2020-11-30 990 2019-12-01 752113670 CROSS TIMBERS HEALTH CLINICS INC CROS 2548935895 1100 West Reynosa DeLeon TX 76444 Michelle Stone CFO 2548935895 2021-10-15 2019 2022-09-23 18:48:47Z AccelHealth Michelle Stone 1100 West Reynosa DeLeon TX 76444 11599045 0 X www.accelhc.org X 1986 TX Cross Timbers Health Clinics provides exceptional healthcare to the members of its communities. 10 10 140 0 0 0 3998185 4549859 6249299 6993332 -7449 -174181 41552 30654 10281587 11399664 0 0 0 0 6220560 7082624 0 0 0 3429339 4346770 9649899 11429394 631688 -29730 5250969 6505026 1247182 2527890 4003787 3977136 X Cross Timbers Health Clinics provides affordable healthcare for patients of all income levels in the Texas communities of Brownwood, DeLeon, Stephenville and the surrounding areas using a sliding fee scale based on income as compared to federal poverty levels. 0 0 6401322 6840671 Provided primary care health and dental services to its service area with over 34,000 patient encounters funded by a grant from the public health service (Section 330 Grant), medicaid and medicare. 0 0 0 6401322 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 27 0 1 140 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X 1100 West Reynosa DeLeon TX 76444 2548935895 1100 West Reynosa DeLeon TX 76444 Joe Hubbard Jr Physician 40 X 224855 0 0 Ronald Livingston CMO 40 X 201952 0 0 John Christophe CDO 40 X 178481 0 0 Allison Rohling Dentist 40 X 148810 0 0 Wednesday Henry Family Nurse Practitioner 40 X 111014 0 0 Esther Taylor CEO 40 X 107108 0 0 Melissa Lavender COO 40 X 100536 0 0 Mark Murphy CIO 40 X 79688 0 0 Sherry Hill CEO (Former) 40 X 58509 0 0 Michelle Stone CFO 40 X 50417 0 0 William Martin CFO (Former) 40 X 43408 0 0 Jim Farley President 1 X X 0 0 0 Kathy Wellman Secretary 1 X X 0 0 0 Craig Willingham Treasurer 1 X X 0 0 0 Charlie Robitaille Vice President 1 X X 0 0 0 Jacqueline Escobar Director 1 X 0 0 0 Samual Bodie Weaver Director 1 X 0 0 0 Rosantina Elizondo Director 1 X 0 0 0 Hiram Smith Director 1 X 0 0 0 Delbert Turner Director 1 X 0 0 0 Wendi Conway Director 1 X 0 0 0 1304778 0 0 7 0 1 0 Pro-Med Properties LLC 1030 E Highway 377 Suite 110 PMB 297 Granbury TX 76048 Rental 106500 1 0 0 0 0 4381862 167997 163304 4549859 Net Patient Services Revenue 622110 6993332 6993332 0 0 0 0 0 0 6993332 9134 0 0 9134 0 0 0 0 0 0 0 0 0 0 0 16066 0 199381 0 -183315 -183315 -183315 0 0 0 Bonus Incentives 621110 30225 30225 0 0 Miscellaneous 900099 429 429 0 0 0 0 0 0 30654 11399664 6840671 0 9134 X 0 0 0 0 0 0 0 0 858588 398700 459888 0 0 0 0 0 5024536 2729036 2295500 0 71961 38258 33703 0 699660 371971 327689 0 427879 227480 200399 0 0 0 0 0 2183 0 2183 0 47461 0 47461 0 0 0 0 0 0 0 0 0 0 0 1904282 1071520 832762 0 86539 46008 40531 0 503514 168368 335146 0 220590 117276 103314 0 0 0 0 0 422100 224408 197692 0 65428 34785 30643 0 0 0 0 0 59412 31586 27826 0 39334 30977 8357 0 0 0 0 0 191143 150531 40612 0 63009 41335 21674 0 Medical and Dental Supplies 678075 678075 0 0 Dues and Subscriptions 47312 25153 22159 0 Bad Debt 14838 14838 0 0 Miscellaneous 1550 1017 533 0 0 0 11429394 6401322 5028072 0 1589015 2565746 518810 426693 -41864 -36668 272993 244122 0 0 0 0 0 0 1151 766 47105 85810 4953675 2306707 2443828 2646968 0 0 0 0 0 0 0 0 419931 571589 5250969 6505026 526065 721629 0 0 0 0 0 0 0 0 0 0 721117 1806261 0 0 0 0 1247182 2527890 X 4003787 3977136 0 0 4003787 3977136 5250969 6505026 -29730 3079 0 0 0 0 X 1 X 1 X 1 1 1 X 4085259 3797407 3941521 3998185 4549859 20372231 0 0 0 0 0 0 0 0 0 0 0 0 4085259 3797407 3941521 3998185 4549859 20372231 0 20372231 4649 201 1433 13523 9134 28940 0 0 0 0 0 0 144182 85039 79894 41552 30654 381321 20782492 28319250 0.98026 0.9766 X Schedule A, Part II, Line 10 Bonus, Incentives and Miscellaneous income RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 412157 412157 0 3008320 1197978 1810342 0 0 0 0 0 1523198 1108729 414469 0 10000 0 10000 2646968 Security Deposits 7705 Other Amortized Assets 4465 Cost Report Settlements 101619 340B A/R 457800 571589 0 X 11387906 3080 0 0 -14838 -11758 11399664 0 0 0 11399664 11414556 0 0 0 0 0 11414556 0 14838 14838 11429394 Schedule D, Part X, Line 2 CTHC is a Not-for-Profit organization that is exempt from income taxes under Section 501(C)(3) of the Internal Revenue Code. CTHC evaluates and accounts for uncertain tax positions in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC)740, Income Taxes (Formerly FASB Interpretation 48 (FIN 48) Accounting for Uncertainty in Income Taxes. This standard requires certain disclosures about uncertain income tax positions. CTHC evaluates any uncertain tax positions using the provisions of ASC 450, Contingencies. As a result, management does not believe that any uncertain tax positions currently exist and no loss contingency has been recognized in the accompanying financial statements. CTHC has filed all applicable tax returns. Schedule D, Part XI, Line 2d Bad Debt Expense -14,838 Schedule D, Part XII, Line 4b Bad Debt Expense 14,838 0 0 0 0 0 0 0 0 0 Ronald Livingston CMO 201952 0 0 0 0 0 0 0 0 0 201952 0 0 0 John Christophe CDO 178481 0 0 0 0 0 0 0 0 0 178481 0 0 0 Joe Hubbard Jr Physician 224855 0 0 0 0 0 0 0 0 0 224855 0 0 0 Schedule J, Part I, Line 3 Compensation for the Organization's CEO is reviewed by the Board of Directors annually. X 12 163304 Fair Market Value 0 0 0 0 Form 990, Part I, Line 1 Description of Organization Mission: Cross Timbers serves its region through caring, compassionate healing, with medical, dental and behavioral health access. Form 990, Part III, Line 1 Description of Organization Mission: Healthcare Services include family medicine (primary healthcare, immunizations for children and adults, family planning, chronic care, prevention healthcare, health education and laboratory services), women's health (pregnancy testing, pre-pregnancy counseling, prenatal care, well-woman care and gynecological services), behavioral health (assessment, diagnosis and treatment therapy for individuals, couples and families) and family dental care. Form 990, Part VI, Section B, Line 11b Due to unforeseen circumstances, Cross Timbers Health Clinics, Inc prepared its 2019 Form 990 and filed it prior to receiving board approval. The return will be presented to the Voting Members of the Board four business days after its filing date. It will also be provided to an Independent accounting firm for review. If the Voting Members of the Board or Independent Accounting Firm find any corrections, an amended return will be filed that reflects the changes. Form 990, Part VI, Section B, Line 12c The Corporation's Conflict of Interest Policy encompasses officers, board members, and employees. Board members sign an agreement to comply with the terms of the bylaws when they become board members. The Bylaws state if a director has a financial interest in a matter that comes before the board, the director must excuse him or herself from voting. With any conflict of interest, the board member will announce it before the discussion of the matter, will abstain from any discussion, and leave the room during the vote. Additionally, it states the clinic does not employ members of the board of directors or their family members. The Company self monitors and investigates any occurrences that are brought to the company's attention. For employees, the CEO, CFO, or COO will evaluate the conflict depending on the employee. Neither will make a determination if it is an employee that reports to them. If the conflict is with the COO or CFO, the other one will make the determination and if it is both COO and CFO, the CEO will decide. If the conflict is the CEO, the board will decide. Form 990, Part VI, Section B, Line 15 The CEO is selected and evaluated annually through a performance review by the Board of Directors. Directors shall serve without compensation. However, reasonable expenses incurred in attendance at meeting or functions with the Corporation may be reimbursed if approved in advance by the Board of Directors. Reimbursement will be at the rates afforded the Corporation employees and in accordance with Corporation policies and procedures. A benchmark salary range for all clinic positions is established based upon independent salary surveys done by professional medical management associations such as MGMA. The Company maintains documentation of the results of the deliberations and decisions regarding the compensation arrangement. Form 990, Part VI, Section C, Line 19 Except as provided in the Forms 990 and 1023, the Organization does not make its governing documents, Conflict of Interest Policy and Financial Statements available to the public. Form 990, Part IX, Line 1 Line 1G Other Fees: Client Services: Program Service Expenses 1,071,520 Management and General Expenses 0 Fundraising Expenses 0 Total Expenses 1,071,520 Form 990, Part IX, Line 11g Line 11G, Col A Administrative Services: Program Service Expense 0 Management and General Expenses 832,762 Fundraising Expenses 0 Total Expenses 832,762 Cross Timbers Health Clinics, Inc hires a CPA firm to prepare its 990 each year. However, Cross Timbers Health Clinics was notified two days prior to the 990 due date the CPA firm would not be able to prepare the return due to unforeseen circumstances. Cross Timbers did not want to file a late return so it prepared its own return and mailed it on October 15, 2021. Because Cross Timbers Health Clinics does not normally prepare its 990, it was not aware the return had to be filed electronically. The paper copy that was mailed on October 15, 2021 was returned by the IRS with instructions to file an electronic copy. The electronic copy is being filed within the 10 days requested in the return letter.