2018-11-15T15:52:56-06:00 2017-12-31 990 2017-01-01 510193549 TEXHOMA CHRISTIAN CARE CENTER INC TEXH 9407238420 300 LOOP 11 WICHITA FALLS TX 763063798 JAYMEE HOLDER ADMINISTRATOR 9407238420 2018-11-15 24.153.146.26 2018-11-15 14:28:44 CS P 6ECFF17B001D952FC9F92949A4B46684545FFE63 6ECFF17B001D952FC9F92949A4B46684545FFE63 2017 2019-02-21 02:37:17Z JAYMEE HOLDER 300 LOOP 11 WICHITA FALLS TX 763063798 15903687 0 X TCCC.ORG X 1976 TX It is the mission of Texhoma Christian Care Center to provide compassionate, caring, high quality nursing services to all entrusted in our care, and to deliver unparalleled service and quality in all support areas needed to fulfill this mission. 10 10 398 0 0 0 5575 1608 15462063 15849599 21774 43542 29537 5566 15518949 15900315 300 3893 0 0 9315229 8991928 0 0 0 6234201 6080551 15549730 15076372 -30781 823943 21135298 21233480 743629 17868 20391669 21215612 X It is the mission of Texhoma Christian Care Center to provide compassionate,caring,high quality nursing services to all entrusted into our care, and to deliver unparalleled service and quality in all support areas needed to fulfill this mission. 0 1 13759021 3893 15901106 Professional rehabilitative and nursing care provided for the elderly whose physical conditions or limitations make it impossible for them to stay at home. Our experienced and compassionate personnel make Texhoma Christian Care Center a caring place for all who stay here during a period of recovery or rehabilitation or who live here permanently. Texhoma Christian Care Center, Inc manages 367 licensed beds within three independent buildings located on an 18 acre campus. Additionally, the campus has six independent cottages for those whose physical condition allows for independent living. 13759021 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 35 0 1 398 1 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 1 1 0 X Randal L Sullenger 9407238420 300 Loop 11 Wichita Falls TX 763063798 Gene Linton President 0.40 X X 0 0 0 Alvin Willson Vice President 0.40 X X 0 0 0 Kerry Graham Secretary 0.40 X X 0 0 0 Bill Willis Director 5.00 X 880 0 8370 Scott Hollars Director 0.20 X 0 0 0 Harry Patterson Director 0.20 X 0 0 0 Sarah Self Director 0.20 X 0 0 0 Kenneth Escue Director 0.20 X 0 0 0 Dr Shelly Strohman Director 0.20 X 0 0 0 Richard Ward Director 0.20 X 0 0 0 Jaymee Holder Administrator 40.00 X 101068 0 0 Randal L Sullenger CFO 40.00 X 97465 0 0 Connie Skidmore Director of Nursing 40.00 X 109419 0 0 308832 0 8370 2 0 0 0 Aegis Therapies Inc P O Box 8103 Fort Smith AR 72902 Therapy 1319620 Partners Pharmacy of Texas LLC 12503 Exchange dr Ste 536 Stafford TX 77477 Pharmacy 406523 Advanced Pharmacy 900 South Loop West Ste 100 Houston TX 77054 Pharmacy 348800 Ferguson-Veresh Inc 703 E Scott Street Wichita Falls TX 76301 HVAC Services 306672 C & I Electronics 5019 Bonny Drive Wichita Falls TX 76302 Fire Alarm, Security Cameras 138599 5 1608 1608 OHHD INCENTIVE MANAGEM 623000 10473061 10473061 MEDICARE/MEDICAID PROG 623000 3685797 3685797 OHHD RENT 623000 967500 967500 PRIVATE PAY PROGRAM IN 623000 297625 297625 OHHD BASE MANAGEMENT F 623000 233670 233670 191946 191946 15849599 43542 43542 973 3372 -2399 -2399 -2399 EMPLOYEE/NONRESIDENT M 623000 4658 4658 PHONE SERVICE 623000 1533 1533 MISCELLANEOUS 623000 1466 1466 308 308 7965 15900315 15901106 0 -2399 X 3893 3893 247493 247493 7418099 6800388 617711 108641 81793 26848 631316 642190 -10874 586379 542970 43409 22379 22379 40450 13000 27450 1794251 1791471 2780 53280 53280 2079007 1942538 136469 113154 12570 100584 523176 490896 32280 1375 198 1177 4832 3490 1342 83 83 905259 862886 42373 114121 103121 11000 EQUIPMENT RENTAL AND MA 187884 187884 MISCELLANEOUS 80458 78861 1597 DEPARTMENTAL EQUIPMENT 56051 51771 4280 INDEPENDENT RENTAL COTT 37661 37661 67130 58160 8970 15076372 13759021 1317351 0 1934652 1534625 5124440 4663845 2184140 4108220 23566 0 207773 12984 28584083 17911125 11423884 10672958 17006 17006 219837 223842 21135298 21233480 735629 8368 8000 9500 743629 17868 X 20391669 21215612 20391669 21215612 21135298 21233480 823943 0 X 0 0 0 X 2125 2260 6337 5575 1608 17905 14587506 1545370 16479035 15463008 15847572 63922491 14589631 1547630 16485372 15468583 15849180 63940396 550 2100 750 1050 100 4550 0 550 2100 750 1050 100 4550 63935846 98123 14484 15879 19406 44515 192407 98123 14484 15879 19406 44515 192407 34870 33106 32167 31905 7965 140013 14722624 1595220 16533418 15519894 15901660 64272816 0.99480 0.99300 0.00300 0.00390 X 1 28651 584535 573069 40117 0 1309570 283066 1592636 10963340 5830798 5132542 16028107 12080327 3947780 10672958 Refundable Deposits - Cottages 9500 9500 5321336 3372 3372 5317964 10582351 10582351 15900315 4497392 3372 3372 4494020 10582351 10582351 15076371 Part IV, Line 1b: Texhoma Christian Care Center oversees trust funds for various residents residing in the facility. Part XI, Line 2d - Other Adjustments: Land Rental Taxes 3372. Part XI, Line 4b - Other Adjustments: Interest Expense 83. OHHD - Management Incentive Revenues 10582268. Part XII, Line 2d - Other Adjustments: Land Rental Taxes 3372. Part XII, Line 4b - Other Adjustments: Interest Expense 83. Management Incentive Expenses 10582268. Form 990, Part III, line 3 Texhoma Christian Care Center, Inc. had a change of ownership in which the Center sold the 367 licensed beds to a non-state governmental entity, OHHD, and entered into a agreement to manage the licensed beds. Simutaneously, with execution of the management agreement, OHHD entered into a lease of the real property and certain personal property and operations transfer agreement associated with the licensed health facility known as Texhoma Christian Care Center, Inc., located at 300 Loop 11, Wichita Falls, Texas. Form 990, Part VI, Section A, line 2 Family Relationship. One board member is married to another board member's sister. Form 990, Part VI, Section A, line 8b Committees with authority to act on behalf of the governing body do not have official notes of each meeting. These committees do report back to the full governing body for disclosure and recording in the official minutes of the board. Form 990, Part VI, Section B, line 11b CFO prepares and reviews with an officer of the Corporation. Form 990, Part VI, Section B, line 12c Transactions with officers or directors are discussed by both the full board and executive committee of the board. Annual review is taken and recorded in the board minutes. Form 990, Part VI, Section B, line 15 Compensation of top management officials and key employees is set by the full board of directors of the facility. Form 990, Part VI, Section C, line 19 The Facility makes its governing documents, conflict of interest policy, and financial information available upon request at the facilities office. Form 990, Part IX, line 11g OTHER-PROFESSIONAL: Program service expenses 0. Management and general expenses 2780. Fundraising expenses 0. Total expenses 2780. OTHER-TRANSPORTATION-SNF,ICF: Program service expenses 5793. Management and general expenses 0. Fundraising expenses 0. Total expenses 5793. OTHER-THERAPY PT,OT,ST: Program service expenses 1444723. Management and general expenses 0. Fundraising expenses 0. Total expenses 1444723. OTHER-LAB X-RAY: Program service expenses 113964. Management and general expenses 0. Fundraising expenses 0. Total expenses 113964. OTHER-INFUSION: Program service expenses 3894. Management and general expenses 0. Fundraising expenses 0. Total expenses 3894. OTHER-CONSOLIDATED CHARGES SNF: Program service expenses 50645. Management and general expenses 0. Fundraising expenses 0. Total expenses 50645. OTHER-HAZARDOUS WASTE DISPOSAL: Program service expenses 7116. Management and general expenses 0. Fundraising expenses 0. Total expenses 7116. OTHER-CONSULTANT PHARMACIST: Program service expenses 32097. Management and general expenses 0. Fundraising expenses 0. Total expenses 32097. OTHER-MEDICAL DIRECTORS: Program service expenses 125007. Management and general expenses 0. Fundraising expenses 0. Total expenses 125007. OTHER-CHAPLAIN: Program service expenses 4925. Management and general expenses 0. Fundraising expenses 0. Total expenses 4925. OTHER-CONSULTANT ACTIVITIES: Program service expenses 150. Management and general expenses 0. Fundraising expenses 0. Total expenses 150. OTHER-HK: Program service expenses 3157. Management and general expenses 0. Fundraising expenses 0. Total expenses 3157.