CROSS TIMBERS HEALTH CLINICS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CROSS TIMBERS HEALTH CLINICS INC (EIN 75-2113670)
Tax period
2015-12-01 to 2016-11-30
Filed
2017-05-25
IRS object ID
201711459349300141
Schema version
2015v3.0
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)
Return2017-05-25T15:58:36-05:00ReturnTs
Tax Period End2016-11-30TaxPeriodEndDt

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 Begin2015-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752113670EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CROSS TIMBER 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)
PersonSHERRY L HILLPersonNm
Person TitleCEOPersonTitleTxt
Phone2548935895PhoneNum
Signature2017-05-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGAYLE L DE HAASPreparerPersonNm
PTINP01774581PTIN
Phone8067911591PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHERRY L HILLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 WEST REYNOSAAddressLine1Txt
CityDE LEONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76444ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,533,479GrossReceiptsAmt
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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee119TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,555,602PYContributionsGrantsAmt
CY Contributions Grants$4,085,259CYContributionsGrantsAmt
PY Program Service Revenue$4,227,187PYProgramServiceRevenueAmt
CY Program Service Revenue$4,299,389CYProgramServiceRevenueAmt
PY Investment Income$230PYInvestmentIncomeAmt
CY Investment Income$4,649CYInvestmentIncomeAmt
PY Other Revenue$93,848PYOtherRevenueAmt
CY Other Revenue$144,182CYOtherRevenueAmt
PY Total Revenue$7,876,867PYTotalRevenueAmt
CY Total Revenue$8,533,479CYTotalRevenueAmt
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$5,038,812PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,860,606CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,777,282PYOtherExpensesAmt
CY Other Expenses$2,695,566CYOtherExpensesAmt
PY Total Expenses$7,816,094PYTotalExpensesAmt
CY Total Expenses$8,556,172CYTotalExpensesAmt
PY Revenues Less Expenses$60,773PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$22,693CYRevenuesLessExpensesAmt
Total Assets BOY$4,207,201TotalAssetsBOYAmt
Total Assets EOY$4,243,217TotalAssetsEOYAmt
Total Liabilities BOY$1,573,853TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,630,804TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,633,348NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,612,413NetAssetsOrFundBalancesEOYAmt
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$7,415,358ExpenseAmt
Revenue$4,443,571RevenueAmt
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$7,415,358TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
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 Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee119EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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

FieldValueIRS element (for citing)
PersonKELLY RICEPersonNm
Phone2548935895PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CRAIG WILLINGHAM
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JIM FARLEY
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CHARLIE ROBITAILLE
TREASURER1.00Yes (X)Yes (X)$0$0$0
CLAUDIA STEVENS
SECRETARY1.00Yes (X)Yes (X)$0$0$0
TOM LETZ
DIRECTOR1.00Yes (X)$0$0$0
WENDY CONWAY
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
SHERRY HILL
CEO40.00Yes (X)$135,154$0$0
JOY SLOAN
CFO40.00Yes (X)$94,170$0$0
DR MOLLY GRAY
CMO40.00Yes (X)$135,154$0$0
MARVIN W BROWN
COO40.00Yes (X)$27,657$0$0
DR RONALD LIVINGSTON
PHYSICIAN40.00$203,999$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$596,134TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
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$102,148CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$3,933,635GovernmentGrantsAmt
All Other Contributions$151,624AllOtherContributionsAmt
Noncash Contributions$100,102NoncashContributionsAmt
Total Contributions$4,085,259TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REDesc
Business621110BusinessCd
Total Revenue Column$4,299,389TotalRevenueColumnAmt
Related Or Exempt Func Income$4,299,389RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,299,389TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,649TotalRevenueColumnAmt
Exclusion$4,649ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BONUS/INCENTIVES621110$86,788$86,788
ACO INCOME621110$54,056$54,056
MEDICAL RECORDS FEES621110$3,338$3,338
FieldValueIRS element (for citing)
Other Revenue Total$144,182OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,533,479TotalRevenueColumnAmt
Related Or Exempt Func Income$4,443,571RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,649ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$596,134TotalAmt
Program Services$339,153ProgramServicesAmt
Management And General$256,981ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,325,478TotalAmt
Program Services$3,851,335ProgramServicesAmt
Management And General$474,143ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$68,537TotalAmt
Program Services$58,256ProgramServicesAmt
Management And General$10,281ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$515,953TotalAmt
Program Services$438,560ProgramServicesAmt
Management And General$77,393ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$354,504TotalAmt
Program Services$301,328ProgramServicesAmt
Management And General$53,176ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,442TotalAmt
Management And General$2,442ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,414TotalAmt
Management And General$24,414ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$462,480TotalAmt
Program Services$378,429ProgramServicesAmt
Management And General$84,051ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$29,887TotalAmt
Program Services$29,887ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$341,985TotalAmt
Program Services$256,057ProgramServicesAmt
Management And General$85,928ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$121,560TotalAmt
Program Services$121,560ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$415,397TotalAmt
Program Services$415,397ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$131,264TotalAmt
Program Services$131,264ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$65,676TotalAmt
Program Services$61,453ProgramServicesAmt
Management And General$4,223ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$55,210TotalAmt
Management And General$55,210ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$256,557TotalAmt
Program Services$256,557ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$65,672TotalAmt
Program Services$53,100ProgramServicesAmt
Management And General$12,572ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL AND DENTAL SUPP$440,463$440,463
BAD DEBT$135,469$135,469
VACCINES$100,102$100,102
DUES AND SUBSCRIPTIONS$40,734$40,734

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,254TotalAmt
Program Services$6,254ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,556,172TotalAmt
Program Services$7,415,358ProgramServicesAmt
Management And General$1,140,814ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$563,561BOYAmt
EOY$327,872EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$213,123BOYAmt
EOY$587,284EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$152,217BOYAmt
EOY$124,113EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$233,917BOYAmt
EOY$219,038EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,282BOYAmt
EOY$10,970EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$29,833BOYAmt
EOY$26,256EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,607,871LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,711,340LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,959,113BOYAmt
EOY$2,896,531EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$47,155BOYAmt
EOY$51,153EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,207,201BOYAmt
EOY$4,243,217EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$414,543BOYAmt
EOY$613,408EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,159,310BOYAmt
EOY$1,017,396EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,573,853BOYAmt
EOY$1,630,804EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,633,348BOYAmt
EOY$2,550,890EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$61,523EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,633,348BOYAmt
EOY$2,612,413EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,207,201BOYAmt
EOY$4,243,217EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$22,693ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,758NetUnrlzdGainsLossesInvstAmt
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$3,709,437CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,438,367CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,459,221CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,555,602CurrentTaxYearMinus1YearAmt
Current Tax Year$4,085,259CurrentTaxYearAmt
Total$18,247,886TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,709,437CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,438,367CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,459,221CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,555,602CurrentTaxYearMinus1YearAmt
Current Tax Year$4,085,259CurrentTaxYearAmt
Total$18,247,886TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$18,247,886PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$520CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$179CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$163CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$230CurrentTaxYearMinus1YearAmt
Current Tax Year$4,649CurrentTaxYearAmt
Total$5,741TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$44,124CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,210CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,848CurrentTaxYearMinus1YearAmt
Current Tax Year$144,182CurrentTaxYearAmt
Total$333,133TotalAmt
FieldValueIRS element (for citing)
Total Support$18,586,760TotalSupportAmt
Public Support CY1700.98180PublicSupportCY170Pct
Public Support PY1700.98500PublicSupportPY170Pct
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$2,816,254OtherCostOrOtherBasisAmt
Depreciation$1,631,536DepreciationAmt
Book Value$1,184,718BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,561,931OtherCostOrOtherBasisAmt
Depreciation$79,804DepreciationAmt
Book Value$1,482,127BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,896,531TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,399,768TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,758NetUnrealizedGainsInvstAmt
Other Revenue-$135,469OtherRevenueAmt
Revenue Not Reported-$133,711RevenueNotReportedAmt
Revenue Subtotal$8,533,479RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,533,479TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,420,703TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$8,420,703ExpensesSubtotalAmt
Other Expenses Not Included$135,469OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$135,469ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,556,172TotalExpensesPerForm990Amt

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 -135,469.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 135,469.

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

FieldValueIRS element (for citing)
PersonDR RONALD LIVINGSTONPersonNm
TitlePHYSICIANTitleTxt
Base Compensation Filing Org$203,999BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$203,999TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

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
Contribution13ContributionCnt
Noncash Contributions Rpt F990$100,102NoncashContributionsRptF990Amt
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11AN 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.

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