CROSS TIMBERS HEALTH CLINICS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CROSS TIMBERS HEALTH CLINICS INC (EIN 75-2113670)
Tax period
2011-12-01 to 2012-11-30
Filed
2013-07-01
IRS object ID
201311829349300526
Schema version
2011v1.5
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)
Timestamp2013-07-01T12:04:04-05:00Timestamp
Tax Period End Date2012-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN752570395EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12950 50TH STREETAddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code79413ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752113670EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CROSS TIMBERS HEALTH CLINICS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCROSNameControl
Phone2548935895Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJOY SLOANName
TitleCFOTitle
Phone2548935895Phone
Date Signed2013-07-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJONATHAN PHILLIPSName
PTINP01605460PTIN
Phone8067911591Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOY SLOANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11100 WEST REYNOSAAddressLine1
CityDE LEONCity
StateTXState
ZIP Code76444ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8101881GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CROSSTIMBERSINC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionCROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE, PROFESSIONAL HEALTHCARE TO ALL.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees137TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3626368ContributionsGrantsPriorYear
Contributions Grants Current Year3709437ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4865165ProgramServiceRevenuePriorYear
Program Service Revenue CY4347800ProgramServiceRevenueCY
Investment Income Prior Year567InvestmentIncomePriorYear
Investment Income Current Year120InvestmentIncomeCurrentYear
Other Revenue Prior Year80831OtherRevenuePriorYear
Other Revenue Current Year44524OtherRevenueCurrentYear
Total Revenue Prior Year8572931TotalRevenuePriorYear
Total Revenue Current Year8101881TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4939398SalariesEtcPriorYear
Salaries Etc Current Year4973282SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3589847OtherExpensePriorYear
Other Expenses Current Year3254565OtherExpensesCurrentYear
Total Expenses Prior Year8529245TotalExpensesPriorYear
Total Expenses Current Year8227847TotalExpensesCurrentYear
Revenues Less Expenses Prior Year43686RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-125966RevenuesLessExpensesCY
Total Assets BOY4536995TotalAssetsBOY
Total Assets EOY4085031TotalAssetsEOY
Total Liabilities BOY2350597TotalLiabilitiesBOY
Total Liabilities EOY2024599TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2186398NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2060432NetAssetsOrFundBalancesEOY
Mission DescriptionCROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE, PROFESSIONAL HEALTHCARE TO ALL.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7652011Expense
Revenue4347800Revenue
DescriptionPROVIDED 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 Expense7652011TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees137NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledTXStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOY SLOANNamePerson
Telephone Number2548935895TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
TOM LETZ
PRESIDENT1.00X000
WENDI CONWAY
VICE PRESIDENT1.00X000
KIM BURKE
TREASURER1.00X000
LANELL WILLIAMS
SECRETARY1.00X000
ALFONSO E PINO MD
DIRECTOR1.00X000
CHARLIE ROBITAILLE
DIRECTOR1.00X000
CRAIG WILLINGHAM
DIRECTOR1.00X000
ED ROGERS
DIRECTOR1.00X000
HIRAM SMITH
DIRECTOR1.00X000
ROSA ELIZONDO
DIRECTOR1.00X000
SANDY BLACKWOOD
DIRECTOR1.00X000
VERL HALLMARK
DIRECTOR1.00X000
JAMES THOMPSON
DIRECTOR/PRESIDENT (FORMER)1.00X000
CARLA MATTHEWS
DIRECTOR (FORMER)1.00X000
EDWIN A GREEN MD
DIRECTOR (FORMER)1.00X000
JESSICA RICHMOND
BOARD MEMBER (FORMER)1.00X000
SHERRY HILL
CEO40.00000X
DR MOLLY GRAY
CMO40.006784200X
KELLY WALRAVEN
INTERIM CFO40.005183800X
VICKIE WILLIAMS
COO40.006475500X
JERRY PYRON
CFO (FORMER)40.00000X
MARY HALLMARK
CEO (FORMER)40.0011189800X
DR PAUL LIVINGSTON
CMO (FORMER)40.0016490000X
TALIA PETERSON
CFO (FORMER)40.009095000X
DR JOHN GARNER
PHYSICIAN40.0015895400X
DR KAREN HILL
PHYSICIAN40.0016025200X
DR WILLIAM WALKER
PHYSICIAN (FORMER)40.0016001400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1031403TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants2867007GovernmentGrants
All Other Contributions842430AllOtherContributions
Noncash Contributions841290NoncashContributions
Total Contributions3709437TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code621110BusinessCode
Total Revenue Column4347800TotalRevenueColumn
Related Or Exempt Function Income4347800RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4347800TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column120TotalRevenueColumn
Exclusion$120ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real400Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real400Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column400TotalRevenueColumn
Exclusion$400ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMEDICAL RECORDS FEESDescription
Business Code621110BusinessCode
Total Revenue Column9338TotalRevenueColumn
Exclusion$9,338ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column34786TotalRevenueColumn
Exclusion$34,786ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue44124TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8101881TotalRevenueColumn
Related Or Exempt Function Income4347800RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$44,644ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total701265Total
Program Services379036ProgramServices
Management And General322229ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3455871Total
Program Services3455871ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36414Total
Program Services32976ProgramServices
Management And General3438ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total371554Total
Program Services356483ProgramServices
Management And General15071ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total408178Total
Program Services377014ProgramServices
Management And General31164ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14427Total
Management And General14427ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39673Total
Management And General39673ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total454501Total
Program Services419231ProgramServices
Management And General35270ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total45810Total
Program Services45810ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1279699Total
Program Services1171318ProgramServices
Management And General108381ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23927Total
Program Services23927ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total267713Total
Program Services267713ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total67567Total
Program Services67567ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total27601Total
Program Services27199ProgramServices
Management And General402ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total103469Total
Program Services103469ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total346606Total
Program Services346606ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total52877Total
Program Services47096ProgramServices
Management And General5781ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT400240400240
MEDICAL AND DENTAL SUPP130455130455

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8227847Total
Program Services7652011ProgramServices
Management And General575836ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY87571BOY
EOY81701EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY220376BOY
EOY150514EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY28344BOY
EOY38081EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY512077BOY
EOY359760EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY76779BOY
EOY49655EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY19897BOY
EOY19500EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5030995LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1651630LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3584065BOY
EOY3379365EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7886BOY
EOY6455EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4536995BOY
EOY4085031EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY702808BOY
EOY519862EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1647789BOY
EOY1504737EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2350597BOY
EOY2024599EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2186398BOY
EOY2060432EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2186398BOY
EOY2060432EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4536995BOY
EOY4085031EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-125966ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3977293CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3528097CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3676825CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3646368CurrentTaxYearMinus1Year
Current Tax Year3709437CurrentTaxYear
Total18538020Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3977293CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3528097CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3676825CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3646368CurrentTaxYearMinus1Year
Current Tax Year3709437CurrentTaxYear
Total18538020Total
FieldValueIRS element (for citing)
Public Support Total17018538020PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2029CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years149CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2113CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6399CurrentTaxYearMinus1Year
Current Tax Year520CurrentTaxYear
Total11210Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years5804CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year74999CurrentTaxYearMinus1Year
Current Tax Year44124CurrentTaxYear
Total124927Total
FieldValueIRS element (for citing)
Total Support18674157TotalSupport
Public Support Pertcentage1700.99270PublicSupportPertcentage170
Public Support Pertcent Prior Year0.82660PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MEDICAL RECORDS FEES OTHER INCOMEGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis252742OtherCostOrOtherBasis
Book Value252742BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2771865OtherCostOrOtherBasis
Depreciation510039Depreciation
Book Value2261826BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis44907OtherCostOrOtherBasis
Depreciation2894Depreciation
Book Value42013BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1908327OtherCostOrOtherBasis
Depreciation1138697Depreciation
Book Value769630BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis53154OtherCostOrOtherBasis
Book Value53154BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3379365TotalOfBookValueLandBuildings
Total Revenue8101881TotalRevenue
Total Expenses8227847TotalExpenses
Excess Or Deficit For Year-125966ExcessOrDeficitForYear
Excess Or Deficit Per FS-125966ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8101881TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8101881RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908101881TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8227847TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8227847ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908227847TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationCTHC 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR PAUL LIVINGSTON
164900000000000164900000
DR JOHN GARNER
158954000000000158954000
DR KAREN HILL
160252000000000160252000
DR WILLIAM WALKER
160014000000000160014000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 3ReturnReference
ExplanationCOMPENSATION FOR THE ORGANIZATION'S CEO IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY AND ESTABLISHED THROUGH A WRITTEN EMPLOYMENT CONTRACT.Explanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions49NumberOfContributions
Noncash Contribs Rptd F990841640NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMETHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationTHE AMOUNTS LISTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 CORPORATIONS 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 COMPANYS 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.
CROSS TIMBERS HEALTH CLINICS, INC DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

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