2014-06-16T16:48:23-05:00 2013-11-30 752570395 DURBIN & COMPANY LLP 2950 50TH STREET LUBBOCK TX 79413 990 2012-12-01 752113670 CROSS TIMBERS HEALTH CLINICS INC CROS 2548935895 1100 WEST REYNOSA DE LEON TX 76444 JOY SLOAN 2548935895 2014-06-16 1 JONATHAN PHILLIPS P01605460 8067911591 2012 2015-11-30 17:44:51Z JOY SLOAN 1100 WEST REYNOSA DE LEON TX 76444 7432288 0 X WWW.CROSSTIMBERSINC.ORG X 1986 TX CROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE, PROFESSIONAL HEALTHCARE TO ALL. 12 12 166 11 0 0 3709437 3438367 4347800 3987679 120 129 44524 6113 8101881 7432288 0 0 0 0 4973282 4414338 0 0 0 3254565 2579130 8227847 6993468 -125966 438820 4085031 4283889 2024599 1784637 2060432 2499252 CROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE, PROFESSIONAL HEALTHCARE TO ALL. 0 0 6535388 3987679 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. 6535388 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 1 175 0 166 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 TX X JOY SLOAN 2548935895 1100 WEST REYNOSA DE LEON TX 76444 WENDI CONWAY 1.00 X 0 0 0 TOM LETZ 1.00 X 0 0 0 VERL HALLMARK 1.00 X 0 0 0 JENNIFER NICHOLAS 1.00 X 0 0 0 LANELL WILLIAMS 1.00 X 0 0 0 CHARLIE ROBITAILLE 1.00 X 0 0 0 CRAIG WILLINGHAM 1.00 X 0 0 0 HIRAM SMITH 1.00 X 0 0 0 ROSA ELIZONDO 1.00 X 0 0 0 SANDY BLACKWOOD 1.00 X 0 0 0 KIM BURKE 1.00 X 0 0 0 SHERRY HILL 40.00 X 110907 0 0 JOY SLOAN 40.00 X 78803 0 0 VICKIE WILLIAMS 40.00 X 83063 0 0 DR MOLLY GRAY 40.00 X 179607 0 0 DR JEFFERY KAZE 40.00 X 154336 0 0 DR RONALD LIVINGSTON 40.00 X 187280 0 0 DR GREGORY MILLAR 40.00 X 116250 0 0 910246 0 0 5 0 1 0 0 3078598 359769 353272 3438367 NET PATIENT SERVICE RE 621110 3987679 3987679 3987679 129 129 50 0 50 50 50 MEDICAL RECORDS FEES 621110 6063 6063 6063 7432288 3987679 0 6242 3675416 3418603 256813 51103 47532 3571 374385 348226 26159 313434 291533 21901 20209 20209 201391 159474 41917 53055 53055 807056 742343 64713 26474 26474 351111 351111 80572 80572 36069 13272 22797 73998 73998 355433 355433 61726 61726 BAD DEBT 348970 348970 MEDICAL AND DENTAL SUPP 152852 152852 LOSS ON DISPOSAL OF ASS 10000 10000 FOOD BANK EXPENSE 214 214 6993468 6535388 458080 0 81701 256748 150514 199122 38081 66588 359760 283664 49655 13110 19500 42718 5414954 2006557 3379365 3408397 6455 13542 4085031 4283889 519862 415982 1504737 1368655 2024599 1784637 X 2060432 2499252 2060432 2499252 4085031 4283889 438820 0 X X 1 X 1 X 1 1 1 X 3528097 3676825 3646368 3709437 3438367 17999094 3528097 3676825 3646368 3709437 3438367 17999094 17999094 149 2113 6399 520 179 9360 5804 74999 44124 10769 135696 18144150 0.99200 0.99270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 229686 229686 2817594 525995 2291599 2060120 1407353 652767 307554 73209 234345 3408397 X 7073318 0 7073318 358970 358970 7432288 6634498 0 6634498 358970 358970 6993468 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. X X 0 0 0 0 0 0 0 0 0 DR MOLLY GRAY 179607 0 0 0 0 0 0 0 0 0 179607 0 0 0 DR JEFFERY KAZE 154336 0 0 0 0 0 0 0 0 0 154336 0 0 0 DR RONALD LIVINGSTON 187280 0 0 0 0 0 0 0 0 0 187280 0 0 0 PART I, LINE 3 COMPENSATION FOR THE ORGANIZATION'S CEO IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY. X 10 353272 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 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.