2016-12-05T14:34:10-06:00 2015-11-30 752570395 DURBIN & COMPANY LLP 2950 50TH STREET LUBBOCK TX 79413 990 2014-12-01 752113670 CROSS TIMBER HEALTH CLINICS INC CROS 2548935895 1100 WEST REYNOSA DE LEON TX 76444 JOY SLOAN CFO 2548935895 2016-12-05 1 GAYLE L DE HAAS P01774581 8067911591 2014 2017-02-10 21:41:12Z JOY SLOAN 1100 WEST REYNOSA DE LEON TX 76444 7876867 0 X WWW.CROSSTIMBERSINC.ORG X 1986 TX CROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE, PROFESSIONAL HEALTHCARE TO ALL. 9 9 129 0 0 0 3459221 3555602 3840963 4227187 -55540 230 40210 93848 7284854 7876867 0 0 0 0 4566288 5038812 0 0 0 2645243 2777282 7211531 7816094 73323 60773 4282355 4207201 1709780 1573853 2572575 2633348 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 6861599 4321035 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. 6861599 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 16 0 1 129 1 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOY SLOAN 2548935895 1100 WEST REYNOSA DE LEON TX 76444 WENDI CONWAY PRESIDENT 1.00 X 0 0 0 CRAIG WILLINGHAM VICE PRESIDENT 1.00 X 0 0 0 TOM LETZ TREASURER 1.00 X 0 0 0 DELBERT TURNER DIRECTOR 1.00 X 0 0 0 JIM FARLEY DIRECTOR 1.00 X 0 0 0 CHARLIE ROBITAILLE DIRECTOR 1.00 X 0 0 0 HIRAM SMITH DIRECTOR 1.00 X 0 0 0 ROSA ELIZONDO DIRECTOR 1.00 X 0 0 0 CLAUDIA STEVENS DIRECTOR 1.00 X 0 0 0 SANDY BLACKWOOD DIRECTOR (FORMER) 1.00 X 0 0 0 VERL HALLMARK DIRECTOR (FORMER) 1.00 X 0 0 0 JENNIFER NICHOLAS DIRECTOR (FORMER) 1.00 X 0 0 0 LANELL WILLIAMS DIRECTOR (FORMER) 1.00 X 0 0 0 SHERRY HILL CEO 40.00 X 112975 0 0 JOY SLOAN CFO 40.00 X 82844 0 0 VICKIE WILLIAMS COO 40.00 X 89998 0 0 DR MOLLY GRAY CMO 40.00 X 185240 0 0 DR JEFFERY KAZE DENTIST 40.00 X 159839 0 0 DR RONALD LIVINGSTON PHYSICIAN 40.00 X 194909 0 0 SHANNA PERKINS RN 40.00 X 105043 0 0 930848 0 0 5 0 1 0 0 3335441 220161 196612 3555602 NET PATIENT SERVICE RE 621110 4227187 4227187 4227187 230 230 BONUS/INCENTIVES 621110 77667 77667 ACO INCOME 621110 8944 8944 MEDICAL RECORDS FEES 621110 7237 7237 93848 7876867 4321035 0 230 471057 185240 285817 3777489 3449011 328478 57818 49458 8360 398342 340746 57596 334106 285798 48308 723 723 24249 24249 448902 338399 110503 13646 13646 323772 229073 94699 130014 130014 386854 386854 98223 98223 52980 44212 8768 63690 63690 282097 282097 63371 51405 11966 MEDICAL AND DENTAL SUPP 353768 353768 BAD DEBT 294869 294869 VACCINES 196612 196612 DUES AND SUBSCRIPTIONS 37438 37438 6074 6074 7816094 6861599 954495 0 149671 563561 180640 213123 241933 152217 492653 233917 8766 8282 14971 29833 4414505 1455392 3179143 2959113 14578 47155 4282355 4207201 393200 414543 1316580 1159310 1709780 1573853 X 2558591 2633348 13984 0 2572575 2633348 4282355 4207201 60773 0 X 1 X 1 X 1 1 1 X 3646368 3709437 3438367 3459221 3555602 17808995 3646368 3709437 3438367 3459221 3555602 17808995 17808995 6399 520 179 163 230 7491 74999 44124 10769 40210 93848 263950 18080436 0.98500 0.98990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 229686 229686 2816254 710212 2106042 1368565 745180 623385 2959113 X 7581998 -294869 -294869 7876867 0 7876867 7521225 0 7521225 294869 294869 7816094 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 -294,869. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 294,869. X X 0 0 0 0 0 0 0 0 0 DR MOLLY GRAY CMO 185240 0 0 0 0 0 0 0 0 0 185240 0 0 0 DR JEFFERY KAZE DENTIST 159839 0 0 0 0 0 0 0 0 0 159839 0 0 0 DR RONALD LIVINGSTON PHYSICIAN 194909 0 0 0 0 0 0 0 0 0 194909 0 0 0 PART I, LINE 3 COMPENSATION FOR THE ORGANIZATION'S CEO IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY. X 10 196612 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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. THE ORGANIZATION, THROUGH NO FAULT OF ITS OWN, INADVERTENTLY FAILED TO FILE THE RETURN WHEN DUE. THE ORGANIZATION HAD EVERY INTENTION OF FILING THE RETURN WHEN DUE.