CROSS TIMBERS HEALTH CLINICS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CROSS TIMBERS HEALTH CLINICS INC (EIN 75-2113670)
Tax period
2013-12-01 to 2014-11-30
Filed
2015-06-28
IRS object ID
201521799349300102
Schema version
2013v4.0
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)
Return2015-06-28T13:37:26-05:00ReturnTs
Tax Period End2014-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN752570395PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DURBIN & COMPANY LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12950 50TH STREETAddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code79413ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752113670EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CROSS TIMBER HEALTH CLINICS INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCROSBusinessNameControlTxt
Phone2548935895PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 WEST REYNOSAAddressLine1
CityDE LEONCity
StateTXState
ZIP Code76444ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOY SLOANPersonNm
Person TitleCFOPersonTitleTxt
Phone2548935895PhoneNum
Signature2015-06-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGAYLE DE HAASPreparerPersonNm
PTINP01774581PTIN
Phone8067911591PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOY SLOANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 WEST REYNOSAAddressLine1
CityDE LEONCity
StateTXState
ZIP Code76444ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$7,340,557GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CROSSTIMBERSINC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionCROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE, PROFESSIONAL HEALTHCARE TO ALL.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee105TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,438,367PYContributionsGrantsAmt
CY Contributions Grants$3,459,221CYContributionsGrantsAmt
PY Program Service Revenue$3,987,679PYProgramServiceRevenueAmt
CY Program Service Revenue$3,840,963CYProgramServiceRevenueAmt
PY Investment Income$129PYInvestmentIncomeAmt
CY Investment Income-$55,540CYInvestmentIncomeAmt
PY Other Revenue$6,113PYOtherRevenueAmt
CY Other Revenue$40,210CYOtherRevenueAmt
PY Total Revenue$7,432,288PYTotalRevenueAmt
CY Total Revenue$7,284,854CYTotalRevenueAmt
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$4,414,338PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,566,288CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,579,130PYOtherExpensesAmt
CY Other Expenses$2,645,243CYOtherExpensesAmt
PY Total Expenses$6,993,468PYTotalExpensesAmt
CY Total Expenses$7,211,531CYTotalExpensesAmt
PY Revenues Less Expenses$438,820PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$73,323CYRevenuesLessExpensesAmt
Total Assets BOY$4,283,889TotalAssetsBOYAmt
Total Assets EOY$4,282,355TotalAssetsEOYAmt
Total Liabilities BOY$1,784,637TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,709,780TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,499,252NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,572,575NetAssetsOrFundBalancesEOYAmt
MissionCROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE, PROFESSIONAL HEALTHCARE TO ALL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,312,151ExpenseAmt
Revenue$3,819,819RevenueAmt
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$6,312,151TotalProgramServiceExpensesAmt
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 Stmt0IndependentAuditFinclStmtInd
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 Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee105EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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
States Where Copy Of Return Is FldTXStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOY SLOANPersonNm
Phone2548935895PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 WEST REYNOSAAddressLine1
CityDE LEONCity
StateTXState
ZIP Code76444ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
WENDI CONWAY
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
TOM LETZ
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
VERL HALLMARK
TREASURER1.00Yes (X)Yes (X)$0$0$0
JENNIFER NICHOLAS
SECRETARY1.00Yes (X)Yes (X)$0$0$0
LANELL WILLIAMS
DIRECTOR1.00Yes (X)$0$0$0
CHARLIE ROBITAILLE
DIRECTOR1.00Yes (X)$0$0$0
CRAIG WILLINGHAM
DIRECTOR1.00Yes (X)$0$0$0
HIRAM SMITH
DIRECTOR1.00Yes (X)$0$0$0
ROSA ELIZONDO
DIRECTOR1.00Yes (X)$0$0$0
SANDY BLACKWOOD
DIRECTOR1.00Yes (X)$0$0$0
KIM BURKE
DIRECTOR (FORMER)1.00Yes (X)$0$0$0
CLAUDIA STEVENS
DIRECTOR1.00Yes (X)$0$0$0
SHERRY HILL
CEO40.00Yes (X)$105,397$0$5,511
JOY SLOAN
CFO40.00Yes (X)$78,803$0$0
VICKIE WILLIAMS
COO40.00Yes (X)$80,569$0$2,494
DR MOLLY GRAY
CMO40.00Yes (X)$174,207$0$5,400
JEFFERY KAZE
DENTAL DIRECTOR40.00$143,122$0$11,214Yes (X)
RONALD LIVINGSTON
PHYSICIAN40.00$169,585$0$17,695Yes (X)
GREGORY MILLAR
DENTIST40.00$116,250$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$867,933TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$42,314TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$3,266,179GovernmentGrantsAmt
All Other Contributions$193,042AllOtherContributionsAmt
Noncash Contributions$185,995NoncashContributionsAmt
Total Contributions$3,459,221TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REDesc
Business621110BusinessCd
Total Revenue Column$3,840,963TotalRevenueColumnAmt
Related Or Exempt Func Income$3,840,963RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,840,963TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$163TotalRevenueColumnAmt
Exclusion$163ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$55,703OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$55,703OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$55,703TotalRevenueColumnAmt
Related Or Exempt Func Income-$55,703RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
BONUS/INCENTIVES621110$29,798$29,798
MEDICAL RECORDS FEES621110$5,651$5,651
ACO INCOME621110$4,761$4,761
FieldValueIRS element (for citing)
Other Revenue Total$40,210OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,284,854TotalRevenueColumnAmt
Related Or Exempt Func Income$3,819,819RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,814ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$910,246TotalAmt
Program Services$457,866ProgramServicesAmt
Management And General$452,380ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,916,495TotalAmt
Program Services$2,786,676ProgramServicesAmt
Management And General$129,819ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$60,378TotalAmt
Program Services$51,321ProgramServicesAmt
Management And General$9,057ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$354,792TotalAmt
Program Services$301,573ProgramServicesAmt
Management And General$53,219ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$324,377TotalAmt
Program Services$275,720ProgramServicesAmt
Management And General$48,657ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,170TotalAmt
Management And General$17,170ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$311,554TotalAmt
Program Services$263,644ProgramServicesAmt
Management And General$47,910ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$51,916TotalAmt
Program Services$51,916ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$320,850TotalAmt
Program Services$196,631ProgramServicesAmt
Management And General$124,219ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$98,536TotalAmt
Program Services$98,536ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$348,872TotalAmt
Program Services$348,872ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$93,241TotalAmt
Program Services$93,241ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$39,439TotalAmt
Program Services$33,471ProgramServicesAmt
Management And General$5,968ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$68,111TotalAmt
Program Services$68,111ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$305,651TotalAmt
Program Services$305,651ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$64,668TotalAmt
Program Services$53,687ProgramServicesAmt
Management And General$10,981ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
BAD DEBT$441,222$441,222
MEDICAL AND DENTAL SUPP$437,013$437,013
DUES AND SUBSCRIPTIONS$38,871$38,871
FOOD BANK EXPENSE$6,507$6,507

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,622TotalAmt
Program Services$1,622ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,211,531TotalAmt
Program Services$6,312,151ProgramServicesAmt
Management And General$899,380ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$256,748BOYAmt
EOY$149,671EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$199,122BOYAmt
EOY$180,640EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$66,588BOYAmt
EOY$241,933EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$283,664BOYAmt
EOY$492,653EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,110BOYAmt
EOY$8,766EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$42,718BOYAmt
EOY$14,971EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,479,113LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,299,970LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,408,397BOYAmt
EOY$3,179,143EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,542BOYAmt
EOY$14,578EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,283,889BOYAmt
EOY$4,282,355EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$415,982BOYAmt
EOY$393,200EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,368,655BOYAmt
EOY$1,316,580EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,784,637BOYAmt
EOY$1,709,780EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,499,252BOYAmt
EOY$2,558,591EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$13,984EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,499,252BOYAmt
EOY$2,572,575EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,283,889BOYAmt
EOY$4,282,355EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$73,323ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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$3,676,825CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,646,368CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,709,437CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,438,367CurrentTaxYearMinus1YearAmt
Current Tax Year$3,459,221CurrentTaxYearAmt
Total$17,930,218TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,676,825CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,646,368CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,709,437CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,438,367CurrentTaxYearMinus1YearAmt
Current Tax Year$3,459,221CurrentTaxYearAmt
Total$17,930,218TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$17,930,218PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,113CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,399CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$520CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$179CurrentTaxYearMinus1YearAmt
Current Tax Year$163CurrentTaxYearAmt
Total$9,374TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$74,999CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,124CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,769CurrentTaxYearMinus1YearAmt
Current Tax Year$40,210CurrentTaxYearAmt
Total$175,906TotalAmt
FieldValueIRS element (for citing)
Total Support$18,115,498TotalSupportAmt
Gross Receipts Rltd Activities$3,875,608GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98980PublicSupportCY170Pct
Public Support PY1700.99200PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMEDICAL RECORDS FEES - 2010 AMOUNT: $ 7,954. 2011 AMOUNT: $ 9,338. 2012 AMOUNT: $ 6,063. 2013 AMOUNT: $ 5,651. OTHER INCOME - 2009 AMOUNT: $ 5,804. 2010 AMOUNT: $ 67,045. 2011 AMOUNT: $ 34,786. 2012 AMOUNT: $ 4,706. BONUS/INCENTIVES - 2013 AMOUNT: $ 29,798. ACO INCOME - 2013 AMOUNT: $ 4,761.ExplanationTxt

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$2,820,751OtherCostOrOtherBasisAmt
Depreciation$615,325DepreciationAmt
Book Value$2,205,426BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,428,676OtherCostOrOtherBasisAmt
Depreciation$1,684,645DepreciationAmt
Book Value$744,031BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,179,143TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,843,632TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$6,843,632RevenueSubtotalAmt
Other Revenues Not Included$441,222OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$441,222RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,284,854TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,770,309TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,770,309ExpensesSubtotalAmt
Other Expenses Not Included$441,222OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$441,222ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,211,531TotalExpensesPerForm990Amt

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

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
DR MOLLY GRAY
CMO$174,207$0$0$0$0$0$5,400$0$0$0$179,607$0$0$0
JEFFERY KAZE
DENTAL DIRECTOR$143,122$0$0$0$0$0$11,214$0$0$0$154,336$0$0$0
RONALD LIVINGSTON
PHYSICIAN$169,585$0$0$0$0$0$17,695$0$0$0$187,280$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
Contribution36ContributionCnt
Noncash Contributions Rpt F990$185,995NoncashContributionsRptF990Amt
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 11AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY ALL OFFICERS AND ACCOUNTING PERSONNEL OF CROSS TIMBERS HEALTH CLINICS, INC. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NEEDED CORRECTIONS OR CLARIFICATIONS ARE MADE. THE 990 IS THEN PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING THE 990. 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 19THE ORGANIZATIONAL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2CCTHC DID NOT CHANGE ITS OVERSIGHT PROCESS OF THE AUDIT, REVIEW OR COMPLIATION OF ITS FINANCIAL STATEMENTS NOR ITS SELECTION PROCESS OF AN INDEPENDENT ACCOUNTANT DURING THE TAX YEAR.

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