CROSS TIMBERS HEALTH CLINICS INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CROSS TIMBERS HEALTH CLINICS INC (EIN 75-2113670)
Tax period
2018-12-01 to 2019-11-30
Filed
2020-09-25
IRS object ID
202012699349300311
Schema version
2018v3.2
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

FieldValueIRS element (for citing)
Return2020-09-25T09:34:46-05:00ReturnTs
Tax Period End2019-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN752570395PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DURBIN & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12950 50TH STREETAddressLine1Txt
CityLUBBOCKCityNm
State AbbreviationTXStateAbbreviationCd
ZIP79413ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752113670EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CROSS TIMBERS HEALTH CLINICS INCBusinessNameLine1Txt
Business Name Line2DBA ACCELHEALTHBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCROSBusinessNameControlTxt
Phone2548935895PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 WEST REYNOSAAddressLine1Txt
CityDE LEONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76444ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE STONEPersonNm
Person TitleCFOPersonTitleTxt
Phone2548935895PhoneNum
Signature2020-09-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGAYLE L DE HAASPreparerPersonNm
PTINP01774581PTIN
Phone8067911591PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.86.242.26IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-09-25IPDt
IP Tm09:34:42IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id0233A6F5F381DB5D6536E14B0823E12B194F9A03AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE STONEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 WEST REYNOSAAddressLine1Txt
CityDE LEONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76444ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,302,559GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ACCELHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionCROSS TIMBERS HEALTH CLINICS PROVIDES EXCEPTIONAL HEALTHCARE TO THE COMMUNITIES WE SERVE FOR THE CROSS TIMBERS REGION THROUGH CARING, COMPASSIONATE HEALING, WITH MEDICAL, DENTAL, AND BEHAVIORAL HEALTH ACCESS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee130TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,941,521PYContributionsGrantsAmt
CY Contributions Grants$3,998,185CYContributionsGrantsAmt
PY Program Service Revenue$5,719,065PYProgramServiceRevenueAmt
CY Program Service Revenue$6,249,299CYProgramServiceRevenueAmt
PY Investment Income$1,433PYInvestmentIncomeAmt
CY Investment Income-$7,449CYInvestmentIncomeAmt
PY Other Revenue$79,894PYOtherRevenueAmt
CY Other Revenue$41,552CYOtherRevenueAmt
PY Total Revenue$9,741,913PYTotalRevenueAmt
CY Total Revenue$10,281,587CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,094,319PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,220,560CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,194,961PYOtherExpensesAmt
CY Other Expenses$3,429,339CYOtherExpensesAmt
PY Total Expenses$9,289,280PYTotalExpensesAmt
CY Total Expenses$9,649,899CYTotalExpensesAmt
PY Revenues Less Expenses$452,633PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$631,688CYRevenuesLessExpensesAmt
Total Assets BOY$4,779,303TotalAssetsBOYAmt
Total Assets EOY$5,250,969TotalAssetsEOYAmt
Total Liabilities BOY$1,417,270TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,247,182TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,362,033NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,003,787NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE HEALTHCARE FOR PATIENTS OF ALL INCOME LEVELS IN THE TEXAS COMMUNITIES OF BROWNWOOD, DE LEON, STEPHENVILLE AND THE SUROUNDING AREAS USING A SLIDING FEE SCALE BASED ON INCOME AS COMPARED TO FEDERAL POVERTY LEVELS. 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, PRENATEAL CARE, WELL-WOMAN CARE AND GYNECOLOGICAL SERVICES), BEHAVIORAL HEALTH (ASSESSMENT, DIAGNOSIS AND TREATMENT THERAPY FOR INDIVIDUALS, COUPLES AND FAMILIES) AND FAMILY DENTAL CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,061,343ExpenseAmt
Revenue$6,269,879RevenueAmt
DescPROVIDED 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.Desc
Total Program Service Expenses$5,061,343TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee130EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2548935895PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 WEST REYNOSAAddressLine1Txt
CityDE LEONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76444ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JIM FARLEY
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
KATHY WELLMAN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
CRAIG WILLINGHAM
TREASURER1.00Yes (X)Yes (X)$0$0$0
CHARLIE ROBITAILLE
DIRECTOR1.00Yes (X)Yes (X)$0$0$0
JACQUELINE ESCOBAR
DIRECTOR1.00Yes (X)$0$0$0
SAMUAL BODIE WEAVER
DIRECTOR1.00Yes (X)$0$0$0
ROSANTINA ELIZONDO
DIRECTOR1.00Yes (X)$0$0$0
HIRAM SMITH
DIRECTOR1.00Yes (X)$0$0$0
DELBERT TURNER
DIRECTOR1.00Yes (X)$0$0$0
DON FOLEY
DIRECTOR1.00Yes (X)$0$0$0
WENDI CONWAY
DIRECTOR (FORMER)1.00Yes (X)$0$0$0
TOM LETZ
DIRECTOR (FORMER)1.00Yes (X)$0$0$0
SHERRY HILL
CEO (FORMER)40.00Yes (X)$143,615$0$0
MIKE MURPHY
CIO40.00Yes (X)$69,053$0$0
RONALD LIVINGSTON
CMO40.00Yes (X)$223,549$0$0
MELISSSA LAVENDER
COO40.00Yes (X)$93,600$0$0
ESTHER TAYLOR
CEO40.00Yes (X)$92,480$0$0
JOHN CHRISTOPHE
CDO40.00Yes (X)$176,177$0$0
DAVID O'DELL
PHYSICIAN40.00$126,543$0$0Yes (X)
TERA CULLY
DENTIST40.00$165,070$0$0Yes (X)
WENDDAY HENRY
FAMILY NURSE PRACTITIONER40.00$108,928$0$0Yes (X)
JOE HUBBARD JR
PHYSICIAN40.00$125,937$0$0Yes (X)
ELIZABETH MILLER
NURSE PRACTICTIONER40.00$104,507$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,429,459TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRO-MED PROPERTIESBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1151 MARINER BEACH LANEAddressLine1Txt
CityVERO BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32963ZIPCd
FieldValueIRS element (for citing)
ServicesRENTALServicesDesc
Compensation$107,519CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$3,818,907GovernmentGrantsAmt
All Other Contributions$179,278AllOtherContributionsAmt
Noncash Contributions$170,798NoncashContributionsAmt
Total Contributions$3,998,185TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REDesc
Business621110BusinessCd
Total Revenue Column$6,249,299TotalRevenueColumnAmt
Related Or Exempt Func Income$6,249,299RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,249,299TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,523TotalRevenueColumnAmt
Exclusion$13,523ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$20,972OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$20,972OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$20,972TotalRevenueColumnAmt
Related Or Exempt Func Income-$20,972RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BONUS/INCENTIVES621110$37,448$37,448
MISCELLANEOUS900099$4,104$4,104
FieldValueIRS element (for citing)
Other Revenue Total$41,552OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,281,587TotalRevenueColumnAmt
Related Or Exempt Func Income$6,269,879RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,523ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$772,197TotalAmt
Program Services$442,549ProgramServicesAmt
Management And General$329,648ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,408,872TotalAmt
Program Services$2,091,258ProgramServicesAmt
Management And General$2,317,614ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$66,458TotalAmt
Program Services$32,501ProgramServicesAmt
Management And General$33,957ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$603,224TotalAmt
Program Services$295,008ProgramServicesAmt
Management And General$308,216ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$369,809TotalAmt
Program Services$180,855ProgramServicesAmt
Management And General$188,954ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$150TotalAmt
Management And General$150ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,719TotalAmt
Management And General$50,719ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,329,035TotalAmt
Program Services$700,835ProgramServicesAmt
Management And General$628,200ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$46,645TotalAmt
Program Services$22,812ProgramServicesAmt
Management And General$23,833ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$329,186TotalAmt
Program Services$110,075ProgramServicesAmt
Management And General$219,111ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$175,672TotalAmt
Program Services$85,913ProgramServicesAmt
Management And General$89,759ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$408,169TotalAmt
Program Services$199,615ProgramServicesAmt
Management And General$208,554ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$114,724TotalAmt
Program Services$56,106ProgramServicesAmt
Management And General$58,618ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$87,704TotalAmt
Program Services$42,892ProgramServicesAmt
Management And General$44,812ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$43,926TotalAmt
Program Services$34,593ProgramServicesAmt
Management And General$9,333ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$188,834TotalAmt
Program Services$148,713ProgramServicesAmt
Management And General$40,121ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$62,449TotalAmt
Program Services$49,181ProgramServicesAmt
Management And General$13,268ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL AND DENTAL SUPP$525,399$525,399
DUES AND SUBSCRIPTIONS$41,209$20,153$21,056
BAD DEBT$20,365$20,365
MISCELLANEOUS$5,153$2,520$2,633

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,649,899TotalAmt
Program Services$5,061,343ProgramServicesAmt
Management And General$4,588,556ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,389,253BOYAmt
EOY$1,589,015EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$484,843BOYAmt
EOY$518,810EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY-$30,479BOYAmt
EOY-$41,864EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$363,475BOYAmt
EOY$272,993EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,540BOYAmt
EOY$1,151EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,918BOYAmt
EOY$47,105EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,649,112LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,205,284LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,497,159BOYAmt
EOY$2,443,828EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$35,594BOYAmt
EOY$419,931EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,779,303BOYAmt
EOY$5,250,969EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$560,608BOYAmt
EOY$526,065EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$856,662BOYAmt
EOY$721,117EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,417,270BOYAmt
EOY$1,247,182EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$57,694BOYAmt
EOY$57,615EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,304,339BOYAmt
EOY$3,946,172EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,362,033BOYAmt
EOY$4,003,787EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,779,303BOYAmt
EOY$5,250,969EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$631,688ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,065NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,555,602CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,085,259CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,797,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,941,521CurrentTaxYearMinus1YearAmt
Current Tax Year$3,998,185CurrentTaxYearAmt
Total$19,377,974TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,555,602CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,085,259CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,797,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,941,521CurrentTaxYearMinus1YearAmt
Current Tax Year$3,998,185CurrentTaxYearAmt
Total$19,377,974TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$19,377,974PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$230CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,649CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$201CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,433CurrentTaxYearMinus1YearAmt
Current Tax Year$13,523CurrentTaxYearAmt
Total$20,036TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93,848CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$144,182CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$79,894CurrentTaxYearMinus1YearAmt
Current Tax Year$41,552CurrentTaxYearAmt
Total$444,515TotalAmt
FieldValueIRS element (for citing)
Total Support$19,842,525TotalSupportAmt
Gross Receipts Rltd Activities$25,543,992GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97660PublicSupportCY170Pct
Public Support PY1700.97670PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$229,686OtherCostOrOtherBasisAmt
Book Value$229,686BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,907,926OtherCostOrOtherBasisAmt
Depreciation$2,125,480DepreciationAmt
Book Value$782,446BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,511,500OtherCostOrOtherBasisAmt
Depreciation$79,804DepreciationAmt
Book Value$1,431,696BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,443,828TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSITS$7,705
OTHER AMORTIZED ASSETS$5,075
COST REPORT SETTLEMENTS$40,053
340B A/R$367,098
FieldValueIRS element (for citing)
Total Book Value Other Assets$419,931TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$10,271,287TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$10,065NetUnrealizedGainsInvstAmt
Other Revenue-$20,365OtherRevenueAmt
Revenue Not Reported-$10,300RevenueNotReportedAmt
Revenue Subtotal$10,281,587RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,281,587TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,629,534TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,629,534ExpensesSubtotalAmt
Other Expenses Not Included$20,365OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$20,365ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,649,899TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE -20,365.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 20,365.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RONALD LIVINGSTON
CMO$223,549$0$0$0$0$0$0$0$0$0$223,549$0$0$0
JOHN CHRISTOPHE
CDO$176,177$0$0$0$0$0$0$0$0$0$176,177$0$0$0
TERA CULLY
DENTIST$165,070$0$0$0$0$0$0$0$0$0$165,070$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationCOMPENSATION FOR THE ORGANIZATION'S CEO IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution12ContributionCnt
Noncash Contributions Rpt F990$170,798NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BAN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE CEO AND CFO OF CROSS TIMBERS HEALTH CLINICS, INC. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NEEDED CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 IS 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 WITH THE CEO, THE BOARD WILL DECIDE.
FORM 990, PART VI, SECTION B, LINE 15THE 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 MEETINGS OR FUNCTIONS WITH THE CORPORATION MAY BE REIMBURSED IF APPROVED IN ADVANCE BY THE BOARD OF DIRECTORS. REIMBURSEMENTS 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 19EXCEPT AS PROVIDED IN THE FORMS 990S AND 1023, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIALS STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GCLINIC SERVICES: PROGRAM SERVICE EXPENSES 700,835. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 700,835. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 628,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 628,200.

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