CROSS TIMBERS HEALTH CLINICS INC: Form 990, tax year 2012
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- Organization
- CROSS TIMBERS HEALTH CLINICS INC (EIN 75-2113670)
- Tax period
- 2012-12-01 to 2013-11-30
- Filed
- 2014-06-16
- IRS object ID
- 201411679349301516
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-06-16T16:48:23-05:00 | Timestamp |
| Tax Period End Date | 2013-11-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752570395 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DURBIN & COMPANY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2950 50TH STREET | AddressLine1 |
| City | LUBBOCK | City |
| State | TX | State |
| ZIP Code | 79413 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-12-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752113670 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROSS TIMBERS HEALTH CLINICS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CROS | NameControl |
| Phone | 2548935895 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 WEST REYNOSA | AddressLine1 |
| City | DE LEON | City |
| State | TX | State |
| ZIP Code | 76444 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOY SLOAN | Name |
| Title | CFO | Title |
| Phone | 2548935895 | Phone |
| Date Signed | 2014-06-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JONATHAN PHILLIPS | Name |
| PTIN | P01605460 | PTIN |
| Phone | 8067911591 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOY SLOAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 WEST REYNOSA | AddressLine1 |
| City | DE LEON | City |
| State | TX | State |
| ZIP Code | 76444 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7432288 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CROSSTIMBERSINC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | CROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE, PROFESSIONAL HEALTHCARE TO ALL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 166 | TotalNbrEmployees |
| Total Nbr Volunteers | 11 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3709437 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3438367 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4347800 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3987679 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 120 | InvestmentIncomePriorYear |
| Investment Income Current Year | 129 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 44524 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6113 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8101881 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7432288 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4973282 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4414338 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3254565 | OtherExpensePriorYear |
| Other Expenses Current Year | 2579130 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8227847 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6993468 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -125966 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 438820 | RevenuesLessExpensesCY |
| Total Assets BOY | 4085031 | TotalAssetsBOY |
| Total Assets EOY | 4283889 | TotalAssetsEOY |
| Total Liabilities BOY | 2024599 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1784637 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2060432 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2499252 | NetAssetsOrFundBalancesEOY |
| Mission Description | CROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE, PROFESSIONAL HEALTHCARE TO ALL. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6535388 | Expense |
| Revenue | 3987679 | Revenue |
| Description | PROVIDED PRIMARY CARE HEALTH AND DENTAL SERVICES TO ITS SERVICE AREA WITH OVER 39,000 PATIENT ENCOUNTERS FUNDED BY A GRANT FROM THE PUBLIC HEALTH SERVICE (SECTION 330 GRANT), MEDICAID AND MEDICARE. | Description |
| Total Program Service Expense | 6535388 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 175 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 166 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | TX | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOY SLOAN | NamePerson |
| Telephone Number | 2548935895 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 WEST REYNOSA | AddressLine1 |
| City | DE LEON | City |
| State | TX | State |
| ZIP Code | 76444 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| WENDI CONWAY | |||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | ||
| TOM LETZ | |||||||
| VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | ||
| VERL HALLMARK | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| JENNIFER NICHOLAS | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| LANELL WILLIAMS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CHARLIE ROBITAILLE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CRAIG WILLINGHAM | |||||||
| 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 | ||
| SANDY BLACKWOOD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KIM BURKE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SHERRY HILL | |||||||
| CEO | 40.00 | 110907 | 0 | 0 | X | ||
| JOY SLOAN | |||||||
| CFO | 40.00 | 78803 | 0 | 0 | X | ||
| VICKIE WILLIAMS | |||||||
| COO | 40.00 | 83063 | 0 | 0 | X | ||
| DR MOLLY GRAY | |||||||
| CMO | 40.00 | 179607 | 0 | 0 | X | ||
| DR JEFFERY KAZE | |||||||
| DENTIST | 40.00 | 154336 | 0 | 0 | X | ||
| DR RONALD LIVINGSTON | |||||||
| PHYSICIAN | 40.00 | 187280 | 0 | 0 | X | ||
| DR GREGORY MILLAR | |||||||
| DENTIST | 40.00 | 116250 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 910246 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 3078598 | GovernmentGrants |
| All Other Contributions | 359769 | AllOtherContributions |
| Noncash Contributions | 353272 | NoncashContributions |
| Total Contributions | 3438367 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 3987679 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3987679 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3987679 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 129 | TotalRevenueColumn |
| Exclusion | $129 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 50 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 50 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50 | TotalRevenueColumn |
| Exclusion | $50 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL RECORDS FEES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 6063 | TotalRevenueColumn |
| Exclusion | $6,063 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6063 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7432288 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3987679 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $6,242 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3675416 | Total |
| Program Services | 3418603 | ProgramServices |
| Management And General | 256813 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51103 | Total |
| Program Services | 47532 | ProgramServices |
| Management And General | 3571 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 374385 | Total |
| Program Services | 348226 | ProgramServices |
| Management And General | 26159 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313434 | Total |
| Program Services | 291533 | ProgramServices |
| Management And General | 21901 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20209 | Total |
| Management And General | 20209 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201391 | Total |
| Program Services | 159474 | ProgramServices |
| Management And General | 41917 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53055 | Total |
| Program Services | 53055 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 807056 | Total |
| Program Services | 742343 | ProgramServices |
| Management And General | 64713 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26474 | Total |
| Program Services | 26474 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 351111 | Total |
| Program Services | 351111 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80572 | Total |
| Program Services | 80572 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36069 | Total |
| Program Services | 13272 | ProgramServices |
| Management And General | 22797 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73998 | Total |
| Program Services | 73998 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 355433 | Total |
| Program Services | 355433 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61726 | Total |
| Program Services | 61726 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BAD DEBT | 348970 | 348970 |
| MEDICAL AND DENTAL SUPP | 152852 | 152852 |
| LOSS ON DISPOSAL OF ASS | 10000 | 10000 |
| FOOD BANK EXPENSE | 214 | 214 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6993468 | Total |
| Program Services | 6535388 | ProgramServices |
| Management And General | 458080 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81701 | BOY |
| EOY | 256748 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 150514 | BOY |
| EOY | 199122 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38081 | BOY |
| EOY | 66588 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 359760 | BOY |
| EOY | 283664 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49655 | BOY |
| EOY | 13110 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19500 | BOY |
| EOY | 42718 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5414954 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2006557 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3379365 | BOY |
| EOY | 3408397 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6455 | BOY |
| EOY | 13542 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4085031 | BOY |
| EOY | 4283889 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 519862 | BOY |
| EOY | 415982 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1504737 | BOY |
| EOY | 1368655 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2024599 | BOY |
| EOY | 1784637 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2060432 | BOY |
| EOY | 2499252 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2060432 | BOY |
| EOY | 2499252 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4085031 | BOY |
| EOY | 4283889 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 438820 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3528097 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3676825 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3646368 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3709437 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3438367 | CurrentTaxYear |
| Total | 17999094 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3528097 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3676825 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3646368 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3709437 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3438367 | CurrentTaxYear |
| Total | 17999094 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 17999094 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 149 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2113 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6399 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 520 | CurrentTaxYearMinus1Year |
| Current Tax Year | 179 | CurrentTaxYear |
| Total | 9360 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 5804 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 74999 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 44124 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10769 | CurrentTaxYear |
| Total | 135696 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 18144150 | TotalSupport |
| Public Support Pertcentage170 | 0.99200 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99270 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 229686 | OtherCostOrOtherBasis |
| Book Value | 229686 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2817594 | OtherCostOrOtherBasis |
| Depreciation | 525995 | Depreciation |
| Book Value | 2291599 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2060120 | OtherCostOrOtherBasis |
| Depreciation | 1407353 | Depreciation |
| Book Value | 652767 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 307554 | OtherCostOrOtherBasis |
| Depreciation | 73209 | Depreciation |
| Book Value | 234345 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3408397 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 7073318 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 7073318 | RevenueSubtotal |
| Other Revenues Not Included | 358970 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 358970 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7432288 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6634498 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 6634498 | ExpensesSubtotal |
| Other Expenses Not Included | 358970 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 358970 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6993468 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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 348,970. LOSS ON DISPOSAL OF ASSETS 10,000. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 348,970. LOSS ON DISPOSAL OF ASSETS 10,000. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR MOLLY GRAY | ||||||||||||||
| CMO | 179607 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 179607 | 0 | 0 | 0 |
| DR JEFFERY KAZE | ||||||||||||||
| DENTIST | 154336 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 154336 | 0 | 0 | 0 |
| DR RONALD LIVINGSTON | ||||||||||||||
| PHYSICIAN | 187280 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 187280 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 3 | ReturnReference |
| Explanation | COMPENSATION FOR THE ORGANIZATION'S CEO IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY. | Explanation |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 10 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 353272 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | AN 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 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 | THE ORGANIZATIONAL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| THE BOARD OF DIRECTORS ENGAGES AN INDEPENDENT, THIRD-PARTY ACCOUNTING FIRM TO AUDIT ITS FINANCIAL STATEMENTS ANNUALLY. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE FINANCIAL STATEMENTS AND MANAGEMENT OVERSEES THE AUDIT PROCESS. |
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