CROSBYTON CLINIC HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: CROSBYTON CLINIC HOSPITAL (EIN 75-0711276)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-08
IRS object ID: 201413129349300011
Schema version: 2013v3.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-08T13:29:55-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	752570395	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DURBIN & COMPANY LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

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	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750711276	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CROSBYTON CLINIC HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	CROS	BusinessNameControlTxt
Phone	8066752382	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	710 WEST MAIN STREET	AddressLine1
City	CROSBYTON	City
State	TX	State
ZIP Code	79322	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DEBRA MILLER	PersonNm
Person Title	ADMINISTRATOR	PersonTitleTxt
Phone	8066752382	PhoneNum
Signature	2014-11-08	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JONATHAN PHILLIPS	PreparerPersonNm
PTIN	P01605460	PTIN
Phone	8067911591	PhoneNum
Preparation	2014-10-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DEBRA MILLER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	710 WEST MAIN STREET	AddressLine1
City	CROSBYTON	City
State	TX	State
ZIP Code	79322	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$7,069,245	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CROSBYTONCLINICHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1945	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTHCARE TO THE CITIZENS OF CROSBY COUNTY AND THE SURROUNDING AREAS.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	103	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,078	PYContributionsGrantsAmt
CY Contributions Grants	$130,420	CYContributionsGrantsAmt
PY Program Service Revenue	$5,006,428	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,611,571	CYProgramServiceRevenueAmt
PY Investment Income	$2,478	PYInvestmentIncomeAmt
CY Investment Income	$6,033	CYInvestmentIncomeAmt
PY Other Revenue	$842,699	PYOtherRevenueAmt
CY Other Revenue	$1,266,621	CYOtherRevenueAmt
PY Total Revenue	$5,852,683	PYTotalRevenueAmt
CY Total Revenue	$7,014,645	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,995,977	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,197,267	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,895,249	PYOtherExpensesAmt
CY Other Expenses	$2,927,370	CYOtherExpensesAmt
PY Total Expenses	$5,891,226	PYTotalExpensesAmt
CY Total Expenses	$6,124,637	CYTotalExpensesAmt
PY Revenues Less Expenses	-$38,543	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$890,008	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,628,153	TotalAssetsBOYAmt
Total Assets EOY	$4,774,740	TotalAssetsEOYAmt
Total Liabilities BOY	$4,653,087	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$909,666	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,975,066	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,865,074	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$5,660,741	ExpenseAmt
Revenue	$6,879,392	RevenueAmt
Desc	OUR HOSPITAL PROVIDES GENERAL MEDICAL SERVICES TO THE CITIZENS OF CROSBYTON AND SURROUNDING AREAS. OUR LARGEST PROGRAMS ARE INPATIENT, SWING BED, AND OUTPATIENT SERVICES. WE OPERATE 25 ACUTE CARE BEDS. HOSPITAL PATIENT DAYS WERE 593 AND SWING BED DAYS WERE 685. IN 2013, THE HOSPITAL PERFORMED 60,449 LAB PROCEDURES, 4,097 RADIOLOGY PROCEDURES, AND 4,097 PHYSICAL THERAPY PROCEDURES. OUR RURAL HEALTH CLINIC LOGGED 6,908 VISITS AND OUR EMERGENCY ROOM SAW 2,525 PATIENTS.	Desc
Total Program Service Expenses	$5,660,741	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	65	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	103	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	0	Form8899Filedind
Form1098 C Filed	0	Form1098CFiledInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	TX	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DEBRA MILLER	PersonNm
Phone	8066758700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	710 WEST MAIN STREET	AddressLine1
City	CROSBYTON	City
State	TX	State
ZIP Code	79322	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DANNY BROOKS ELLISON
CHAIRMAN	1.00	Yes (X)	Yes (X)	$0	$0	$457
KELLY WING
VICE CHAIRMAN	1.00	Yes (X)	Yes (X)	$0	$0	$457
JOAN BURKE MURRAY
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$229
BOBBY MAX HAM
DIRECTOR	1.00	Yes (X)		$0	$0	$457
LESTER BOWNDS
DIRECTOR	1.00	Yes (X)		$0	$0	$377
JAMES ALLEN ADAMS
DIRECTOR	1.00	Yes (X)		$0	$0	$297
DEBRA MILLER
ADMINISTRATOR	40.00		Yes (X)	$67,998	$0	$2,900
RUTH E STALLARD
NURSE PRACTITIONER	40.00			$101,908	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$169,906	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,174	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
CONCORD
PO BOX 489	MULESHOE	TX	79347	ER MEDICAL	$299,108
STEVE ALLEY MD PA
536 S AYRSHIRE	CROSBYTON	TX	79322	PHYSICIAN SERVICES	$272,880
WAEL QUBTI MD
16002 CR 1865	LUBBOCK	TX	79424	ER MEDICAL	$116,390

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Government Grants	$50,000	GovernmentGrantsAmt
All Other Contributions	$80,420	AllOtherContributionsAmt
Total Contributions	$130,420	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT REVENUE	Desc
Business	623000	BusinessCd
Total Revenue Column	$5,611,571	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,611,571	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,611,571	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,833	TotalRevenueColumnAmt
Exclusion	$4,833	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,661	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,661	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,661	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,661	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$55,800	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$54,600	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,200	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,200	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,200	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
UPL REVENUE	621990	$642,000	$642,000
340B REVENUE	621990	$586,564	$586,564
MISCELLANEOUS REVENUE	621400	$27,218	$27,218

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,178	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,178	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,256,960	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,014,645	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,879,392	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,833	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,581,030	TotalAmt
Program Services	$2,369,777	ProgramServicesAmt
Management And General	$211,253	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,654	TotalAmt
Program Services	$6,654	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$402,775	TotalAmt
Program Services	$402,775	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$206,808	TotalAmt
Program Services	$182,234	ProgramServicesAmt
Management And General	$24,574	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$58,558	TotalAmt
Management And General	$58,558	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,030,670	TotalAmt
Program Services	$990,016	ProgramServicesAmt
Management And General	$40,654	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,021	TotalAmt
Program Services	$7,021	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$133,427	TotalAmt
Program Services	$90,583	ProgramServicesAmt
Management And General	$42,844	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$171,078	TotalAmt
Program Services	$171,078	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$16,015	TotalAmt
Program Services	$16,015	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$587	TotalAmt
Program Services	$587	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$283	TotalAmt
Program Services	$283	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$279,322	TotalAmt
Program Services	$279,322	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$77,445	TotalAmt
Program Services	$77,445	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$374,539	$374,539
BAD DEBT	$354,344	$354,344
340B PROGRAM EXPENSE	$308,901	$308,901
BUSINESS OFFICE COLLECT	$71,329		$71,329

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$43,851	TotalAmt
Program Services	$29,167	ProgramServicesAmt
Management And General	$14,684	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,124,637	TotalAmt
Program Services	$5,660,741	ProgramServicesAmt
Management And General	$463,896	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$279,661	BOYAmt
EOY	$284,846	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,147,574	BOYAmt
EOY	$1,515,547	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$778,203	BOYAmt
EOY	$1,153,931	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$91,367	BOYAmt
EOY	$97,133	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$49,113	BOYAmt
EOY	$49,113	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,587,111	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,622,289	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$496,145	BOYAmt
EOY	$964,822	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,786,090	BOYAmt
EOY	$709,348	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,628,153	BOYAmt
EOY	$4,774,740	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$644,129	BOYAmt
EOY	$300,666	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$15,893	BOYAmt
EOY	$609,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,993,065	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,653,087	BOYAmt
EOY	$909,666	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,975,066	BOYAmt
EOY	$3,865,074	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,975,066	BOYAmt
EOY	$3,865,074	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,628,153	BOYAmt
EOY	$4,774,740	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$890,008	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,248	OtherCostOrOtherBasisAmt
Book Value	$25,248	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,961,907	OtherCostOrOtherBasisAmt
Depreciation	$1,637,067	DepreciationAmt
Book Value	$324,840	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$737,887	OtherCostOrOtherBasisAmt
Depreciation	$279,674	DepreciationAmt
Book Value	$458,213	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,862,069	OtherCostOrOtherBasisAmt
Depreciation	$1,705,548	DepreciationAmt
Book Value	$156,521	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$964,822	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM CROSBYTON HEALTH SERVICES	$695,256
PATIENTS OVERPAYMENT REFUND ACCOUNT	$10,131
OTHER RECEIVABLES	$3,961

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$709,348	TotalBookValueOtherAssetsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$6,991,938	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$331,637	OtherRevenueAmt
Revenue Not Reported	$331,637	RevenueNotReportedAmt
Revenue Subtotal	$6,660,301	RevenueSubtotalAmt
Other Revenues Not Included	$354,344	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$354,344	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$7,014,645	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$6,041,464	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$271,171	OtherExpensesIncludedAmt
Expenses Not Reported	$271,171	ExpensesNotReportedAmt
Expenses Subtotal	$5,770,293	ExpensesSubtotalAmt
Other Expenses Not Included	$354,344	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$354,344	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$6,124,637	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL 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. THE HOSPITAL 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. THE HOSPITAL HAS FILED ALL APPLICABLE TAX RETURNS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CROSBYTON HEALTH SERVICES CORPORATION REVENUE 331,637.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 354,344.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	CROSBYTON HEALTH SERVICES CORPORATION EXPENSES 271,171.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 354,344.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$259,915	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$192,415	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,500	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$607,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,110,271	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$502,968	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$867,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,302,686	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$435,468	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$867,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,302,686	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$435,468	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$231,110	BadDebtExpenseAmt
Bad Debt Expense Attributable	$225,827	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$1,788,632	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,248,867	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,460,235	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CROSBYTON CLINIC HOSPITAL	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	710 WEST MAIN STREET	AddressLine1
City	CROSBYTON	City
State	TX	State
ZIP Code	79322	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CROSBYTON CLINIC HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.CROSBYTONCLINICHOSPITAL.COM/	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	0	FPGUsedDetermEligDscntCareInd
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

CROSBYTON CLINIC HOSPITAL

PART V, SECTION B, LINE 3: THE CHNA WAS DESIGNED TO TAKE THE MISSION STATED BY THE HOSPITAL TO THE COMMUNITY AND DEVELOP IMPLEMENTABLE STRATEGIES TO ADDRESS THE NEEDS IDENTIFIED. BY LISTENING TO THE MEMBERS OF THE COMMUNITY, AND REVIEWING DEMOGRAPHIC AND STATISTICAL DATA, THE HOSPITAL CAN GAIN INFORMATION ON HEALTH STATUS, AND ON WHERE THE GAPS IN HEALTHCARE DELIVERY CURRENTLY EXIST. FURTHER, IT IDENTIFIED OPPORTUNITIES FOR GROWTH THAT MAY EXIST FOR THE HOSPITAL BY ASKING FOR DIRECT INPUT FROM COMMUNITY MEMBERS AND SOLIDIFIED THE HOSPITAL'S ROLE AS A PARTNER IN IMPROVING THE OVERALL HEALTH, EDUCATION, AND ECONOMIC DEVELOPMENT OF CROSBY COUNTY, TEXAS. THE CHNA INCLUDED SURVEYS, INTERVIEWS, AND FOCUS GROUPS WITH REPRESENTATIVES FROM THE FOLLOWING GROUPS:1. BUSINESS LEADERS2. HEALTHCARE PROFESSIONALS3. MINORITY COMMUNITY (HISPANIC AND AFRICAN AMERICAN)4. SENIOR CITIZENS5. SCHOOL DISTRICT6. CITY GOVERNMENT LEADERS7. LOW-INCOME PERSONS8. HOSPITAL ADMINISTRATION AND GOVERNANCE9. SUFFERERS OF CHRONIC DISEASES10. MEMBERS OF THE COMMUNITY UNDERSERVED BY THE HOSPITALADDITIONALLY, INTERVIEWS WERE HELD WITH CURRENT AND FORMER PATIENTS, THE HOSPITAL CEO, AND THE COUNTY JUDGE. THE SURVEY WAS DESIGNED TO IDENTIFY SELECT MEMBERS OF THE COMMUNITY WHO WERE REQUIRED BY THE ACA TO BE INCLUDED. THOSE WHO PARTICIPATED IN THE SURVEY AND VOLUNTEERED TO BE INCLUDED IN A FOCUS GROUP WERE THEN INTERVIEWED TO FURTHER DEVELOP THE RESULTS OF THIS CHNA. ALTHOUGH THE RESULTS WERE BROAD, COMMON NEEDS AND SOLUTIONS WERE IDENTIFIED THROUGH THE SURVEY, AND THE FOCUS GROUPS WERE TASKED WITH PRIORITIZING THE NEEDS AND SOLUTIONS PROPOSED.

CROSBYTON CLINIC HOSPITAL

PART V, SECTION B, LINE 7: THE FOLLOWING LIST ARE NEEDS THAT WERE IDENTIFIED THROUGH THE CHNA COMPLETED IN OCTOBER 2013; ALL OF THESE NEEDS WERE NOT ADDRESSED BY THE IMPLEMENTATION STRATEGY DUE TO A LACK OF RESOURCES AVAILABLE TO THE HOSPITAL:1. INDIGENT POPULATION SERVICES - INADEQUATE ACCESS TO HEALTHCARE SERVICES FOR INDIVIDUALS WHO CANNOT AFFORD THEIR MEDICAL BILLS OR MEDICAL INSURANCE.2. EQUIPMENT UPGRADES - LACK OF UPDATED EQUIPMENT TO FULFILL NEEDS OF THE COMMUNITY.3. COORDINATION WITH OTHER LOCAL FACILITIES - INSUFFICIENT COMMUNICATION BETWEEN CCH AND OTHER MEDICAL FACILITIES IN THE COMMUNITY TO MEET PATIENT NEEDS.4. MAINTAINING EXISTING SERVICES - ENSURING THAT THE HOSPITAL, INCLUDING ER AND EMS SERVICES, DOES NOT REDUCE THE SERVICES THAT IT PROVIDES.5. DENTAL & VISION CARE - NO AVAILABILITY OF DENTAL AND VISION SERVICE FOR THE COMMUNITY.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REEVES RHOADES TERRACE	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	640 SOUTH HARRISON	AddressLine1
City	CROSBYTON	City
State	TX	State
ZIP Code	79322	ZIPCode

Field	Value	IRS element (for citing)
Facility	ASSISTED LIVING FACILITY	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III, LINE 8:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION UTILIZES A COST TO CHARGE RATIO DETERMINED BY THEIR ANNUAL MEDICARE COST REPORT TO DETERMINE THE AMOUNT ON SCHEDULE H, PART III, SECTION B LINE 6. ALL OF THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. SENIOR MANAGEMENT CONSIDERS, COMPLETES, AND FINALIZES ALL DOCUMENTATION BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	VERBAL AND WRITTEN DOCUMENTATION CONCERNING ANY CONFLICT OF INTEREST OCCUR DURING EMPLOYEE REVIEW AND DURING FISCAL YEAR END.
FORM 990, PART VI, SECTION B, LINE 15	THE CEO, BOARD COMMITTEE, AND COMPLETE BOARD OF DIRECTORS RESEARCH AND REVIEW ALL DATA PROVIDED DURING THE SEARCH PROCESS. SEVERAL REDUCTION LAYERS ARE INVOLVED WHEN MORE THAN SEVERAL CANDIDATES ARE INVOLVED. MARKET DATA IS USED TO CONSIDER COMPENSATION LEVELS.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
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.
FORM 990, PART IX, LINE 11G	EMS PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 94,439. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,439. HOSPITAL PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 895,577. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 895,577. HOME OFFICE PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 40,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,654.
FORM 990, PART XII, LINE 2C:	THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, AND COMPILATION OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS IS NOT CHANGES FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CROSBYTON HEALTH SERVICES	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	710 WEST MAIN STREET	AddressLine1
City	CROSBYTON	City
State	TX	State
ZIP Code	79322	ZIPCode

Field	Value	IRS element (for citing)
EIN	752916531	EIN
Primary Activities	ASSISTED LIVING	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 11A, I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CROSBYTON CLINIC HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CROSBYTON HEALTH SERVICES
D	$1,459,986	ACV
CROSBYTON HEALTH SERVICES
E	$764,730	ACV