2020-09-25T09:34:46-05:00 2019-11-30 752570395 DURBIN & COMPANY LLP 2950 50TH STREET LUBBOCK TX 79413 990 2018-12-01 752113670 CROSS TIMBERS HEALTH CLINICS INC DBA ACCELHEALTH CROS 2548935895 1100 WEST REYNOSA DE LEON TX 76444 MICHELLE STONE CFO 2548935895 2020-09-25 1 GAYLE L DE HAAS P01774581 8067911591 12.86.242.26 2020-09-25 09:34:42 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0233A6F5F381DB5D6536E14B0823E12B194F9A03 2018 2021-01-29 14:40:06Z MICHELLE STONE 1100 WEST REYNOSA DE LEON TX 76444 10302559 0 X WWW.ACCELHC.ORG X 1986 TX CROSS 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. 10 10 130 0 0 0 3941521 3998185 5719065 6249299 1433 -7449 79894 41552 9741913 10281587 0 0 0 0 6094319 6220560 0 0 0 3194961 3429339 9289280 9649899 452633 631688 4779303 5250969 1417270 1247182 3362033 4003787 X CROSS 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. 0 0 5061343 6269879 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. 5061343 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 22 0 1 130 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 2548935895 1100 WEST REYNOSA DE LEON TX 76444 JIM FARLEY PRESIDENT 1.00 X X 0 0 0 KATHY WELLMAN SECRETARY 1.00 X X 0 0 0 CRAIG WILLINGHAM TREASURER 1.00 X X 0 0 0 CHARLIE ROBITAILLE DIRECTOR 1.00 X X 0 0 0 JACQUELINE ESCOBAR DIRECTOR 1.00 X 0 0 0 SAMUAL BODIE WEAVER DIRECTOR 1.00 X 0 0 0 ROSANTINA ELIZONDO DIRECTOR 1.00 X 0 0 0 HIRAM SMITH DIRECTOR 1.00 X 0 0 0 DELBERT TURNER DIRECTOR 1.00 X 0 0 0 DON FOLEY DIRECTOR 1.00 X 0 0 0 WENDI CONWAY DIRECTOR (FORMER) 1.00 X 0 0 0 TOM LETZ DIRECTOR (FORMER) 1.00 X 0 0 0 SHERRY HILL CEO (FORMER) 40.00 X 143615 0 0 MIKE MURPHY CIO 40.00 X 69053 0 0 RONALD LIVINGSTON CMO 40.00 X 223549 0 0 MELISSSA LAVENDER COO 40.00 X 93600 0 0 ESTHER TAYLOR CEO 40.00 X 92480 0 0 JOHN CHRISTOPHE CDO 40.00 X 176177 0 0 DAVID O'DELL PHYSICIAN 40.00 X 126543 0 0 TERA CULLY DENTIST 40.00 X 165070 0 0 WENDDAY HENRY FAMILY NURSE PRACTITIONER 40.00 X 108928 0 0 JOE HUBBARD JR PHYSICIAN 40.00 X 125937 0 0 ELIZABETH MILLER NURSE PRACTICTIONER 40.00 X 104507 0 0 1429459 0 0 9 0 1 0 PRO-MED PROPERTIES 151 MARINER BEACH LANE VERO BEACH FL 32963 RENTAL 107519 1 3818907 179278 170798 3998185 NET PATIENT SERVICE RE 621110 6249299 6249299 6249299 13523 13523 20972 -20972 -20972 -20972 BONUS/INCENTIVES 621110 37448 37448 MISCELLANEOUS 900099 4104 4104 41552 10281587 6269879 0 13523 X 772197 442549 329648 4408872 2091258 2317614 66458 32501 33957 603224 295008 308216 369809 180855 188954 150 150 50719 50719 1329035 700835 628200 46645 22812 23833 329186 110075 219111 175672 85913 89759 408169 199615 208554 114724 56106 58618 87704 42892 44812 43926 34593 9333 188834 148713 40121 62449 49181 13268 MEDICAL AND DENTAL SUPP 525399 525399 DUES AND SUBSCRIPTIONS 41209 20153 21056 BAD DEBT 20365 20365 MISCELLANEOUS 5153 2520 2633 9649899 5061343 4588556 0 1389253 1589015 484843 518810 -30479 -41864 363475 272993 4540 1151 34918 47105 4649112 2205284 2497159 2443828 35594 419931 4779303 5250969 560608 526065 856662 721117 1417270 1247182 X 57694 57615 3304339 3946172 3362033 4003787 4779303 5250969 631688 10065 0 X 1 X 1 X 1 1 1 X 3555602 4085259 3797407 3941521 3998185 19377974 3555602 4085259 3797407 3941521 3998185 19377974 19377974 230 4649 201 1433 13523 20036 93848 144182 85039 79894 41552 444515 19842525 25543992 0.97660 0.97670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 229686 229686 2907926 2125480 782446 1511500 79804 1431696 2443828 SECURITY DEPOSITS 7705 OTHER AMORTIZED ASSETS 5075 COST REPORT SETTLEMENTS 40053 340B A/R 367098 419931 X 10271287 10065 -20365 -10300 10281587 0 10281587 9629534 0 9629534 20365 20365 9649899 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. X X 0 0 0 0 0 0 0 0 0 RONALD LIVINGSTON CMO 223549 0 0 0 0 0 0 0 0 0 223549 0 0 0 JOHN CHRISTOPHE CDO 176177 0 0 0 0 0 0 0 0 0 176177 0 0 0 TERA CULLY DENTIST 165070 0 0 0 0 0 0 0 0 0 165070 0 0 0 PART I, LINE 3 COMPENSATION FOR THE ORGANIZATION'S CEO IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY. X 12 170798 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B AN 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 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 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 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 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 19 EXCEPT 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 11G CLINIC 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.