CROSS TIMBERS HEALTH CLINICS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CROSS TIMBERS HEALTH CLINICS INC (EIN 75-2113670)
Tax period
2010-12-01 to 2011-11-30
Filed
2012-07-16
IRS object ID
201201989349300835
Schema version
2010v3.7
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)
Timestamp2012-07-16T15:26:08-04:00Timestamp
Tax Period End Date2011-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17901 Woodway Drive Suite 100AddressLine1
CityWacoCity
StateTXState
ZIP Code76712ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-12-01TaxPeriodBeginDate

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
CityDeLeonCity
StateTXState
ZIP Code76444ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJerry PyronName
TitleCFOTitle
Date Signed2012-07-16DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameCarol S McIntoshName
Phone2547768244Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJerry PyronNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11100 West ReynosaAddressLine1
CityDeleonCity
StateTXState
ZIP Code76444ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8572931GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.crosstimbersinc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionCross Timbers Clinics provides affordable, professional healthcare to all.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees132TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3676825ContributionsGrantsPriorYear
Contributions Grants Current Year3626368ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4733441ProgramServiceRevenuePriorYear
Program Service Revenue CY4865165ProgramServiceRevenueCY
Investment Income Prior Year1013InvestmentIncomePriorYear
Investment Income Current Year567InvestmentIncomeCurrentYear
Other Revenue Prior Year6904OtherRevenuePriorYear
Other Revenue Current Year80831OtherRevenueCurrentYear
Total Revenue Prior Year8418183TotalRevenuePriorYear
Total Revenue Current Year8572931TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4202961SalariesEtcPriorYear
Salaries Etc Current Year4939398SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3489147OtherExpensePriorYear
Other Expenses Current Year3589847OtherExpensesCurrentYear
Total Expenses Prior Year7692108TotalExpensesPriorYear
Total Expenses Current Year8529245TotalExpensesCurrentYear
Revenues Less Expenses Prior Year726075RevenuesLessExpensesPriorYear
Revenues Less Expenses CY43686RevenuesLessExpensesCY
Total Assets BOY3658867TotalAssetsBOY
Total Assets EOY4536995TotalAssetsEOY
Total Liabilities BOY1516155TotalLiabilitiesBOY
Total Liabilities EOY2350597TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2142712NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2186398NetAssetsOrFundBalancesEOY
Mission DescriptionCross Timbers Clinics provides affordable, professional healthcare to all.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7338340Expense
Grants0Grants
Revenue4865165Revenue
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 Expense7338340TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109631NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees132NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledTXStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJERRY PYRONNamePerson
Telephone Number2548935895TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
James Thompson
Director/President1.0XX000
LaNell Williams
Director/Vice President1.0XX000
Wendi Conway
Director/Secretary1.0XX000
Craig Willingham
Director/Treasurer1.0XX000
Tom Letz
Director1.0X000
Kim Burke
Director1.0X000
Sandra Blackwood
Director1.0X000
Rosantina Elizondo
Director1.0X000
Alfonso Pino MD
Director1.0X000
Charles Robitaille
Director1.0X000
Ed Rodger
Director1.0X000
Hiram Smith
Director1.0X000
Jessica Richmond
Board Member1.0X000
Edwin Green MD
Director1.0X000
Carla Mathews
Director1.0X000
Mary Hallmark
CEO40.0X11189801382
George Dudley
COO40.0X6949306068
Talia Peterson
CFO40.0X9260002894
Ronald Livingston DO
CMO40.0X184296022538
John Garner DO
Physician40.0171954017265X
Karen Hill MD
Physician40.016189906052X
William Walker DDS
Dentist40.0160014040X
Tracy Penn PA-C
PA-C40.010022801485X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1052382TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation57724TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants3017415GovernmentGrants
All Other Contributions608953AllOtherContributions
Noncash Contributions601388NoncashContributions
Total Contributions3626368TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column4865165TotalRevenueColumn
Related Or Exempt Function Income4865165RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4865165TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column567TotalRevenueColumn
Exclusion$567ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real5832Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real5832Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column5832TotalRevenueColumn
Exclusion$5,832ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMEDICAL RECORDS FEESDescription
Total Revenue Column7954TotalRevenueColumn
Exclusion$7,954ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column67045TotalRevenueColumn
Exclusion$67,045ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue74999TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8572931TotalRevenueColumn
Related Or Exempt Function Income4865165RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$81,398ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total526374Total
Management And General526374ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3715404Total
Program Services3360583ProgramServices
Management And General354821ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total21287Total
Program Services19254ProgramServices
Management And General2033ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total305807Total
Program Services276602ProgramServices
Management And General29205ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total370526Total
Program Services335141ProgramServices
Management And General35385ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1484Total
Management And General1484ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30953Total
Management And General30953ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total416119Total
Program Services379556ProgramServices
Management And General36563ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total53679Total
Program Services53679ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1108877Total
Program Services1018411ProgramServices
Management And General90466ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total233791Total
Program Services233791ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total108305Total
Program Services108305ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total110820Total
Program Services110720ProgramServices
Management And General100ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total75364Total
Management And General75364ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total266632Total
Program Services266632ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total43790Total
Program Services35633ProgramServices
Management And General8157ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT10631241063124
MEDICAL AND DENTAL SUPPLIES7690976909

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8529245Total
Program Services7338340ProgramServices
Management And General1190905ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY689315BOY
EOY87571EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY125000BOY
EOY220376EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY556880BOY
EOY28344EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY195977BOY
EOY512077EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY22567BOY
EOY76779EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16134BOY
EOY19897EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4891525LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1307460LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2040428BOY
EOY3584065EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12566BOY
EOY7886EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3658867BOY
EOY4536995EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY565879BOY
EOY702808EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY374072BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY576204BOY
EOY1647789EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1516155BOY
EOY2350597EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2142712BOY
EOY2186398EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2142712BOY
EOY2186398EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3658867BOY
EOY4536995EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses43686ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2974874CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3977293CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3528097CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3676825CurrentTaxYearMinus1Year
Current Tax Year3646368CurrentTaxYear
Total17803457Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2974874CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3977293CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3528097CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3676825CurrentTaxYearMinus1Year
Current Tax Year3646368CurrentTaxYear
Total17803457Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total3009738AmountsSubstContributorsTotal
Public Support Total17014793719PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1592CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years149CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2113CurrentTaxYearMinus1Year
Current Tax Year6399CurrentTaxYear
Total12282Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5804CurrentTaxYearMinus1Year
Current Tax Year74999CurrentTaxYear
Total80803Total
FieldValueIRS element (for citing)
Total Support17896542TotalSupport
Gross Receipts From Admissions Etc4865165GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.82662PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99958PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2758078OtherCostOrOtherBasis
Depreciation464734Depreciation
Book Value2293344BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1841799OtherCostOrOtherBasis
Depreciation842726Depreciation
Book Value999073BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38906OtherCostOrOtherBasis
Book Value38906BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3584065TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue8572931TotalRevenue
Total Expenses8529245TotalExpenses
Excess Or Deficit For Year43686ExcessOrDeficitForYear
Excess Or Deficit Per FS43686ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8592931TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities20000DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99020000RevenueNotRptdF990
Revenue Subtotal8572931RevenueSubtotal
Total Revenue Per Form9908572931TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8549245TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities20000DonatedServicesUseOfFacilities
Expenses Not Rptd F99020000ExpensesNotRptdF990
Expenses Subtotal8529245ExpensesSubtotal
Total Expenses Per Form9908529245TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) DISCLOSUREIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

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
Ronald Livingston DO
1842960000019396031420206834000
John Garner DO
1719540000013000042650189219000
Karen Hill MD
161899000001647044050167951000
William Walker DDS
1600140000000400160054000

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions39NumberOfContributions
Noncash Contribs Rptd F990601388NoncashContribsRptdF990
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTEDIdentifier
Return ReferenceSCHEDULE M, PART I, COLUMN BReturnReference
ExplanationTHE AMOUNTS LISTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Review ProcessForm 990, Part VI, Section B, Line 11bAN 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 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.
CONFLICT OF INTEREST POLICYForm 990, Part VI, Section B, Line 12cThe corporation 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, either 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.
COMPENSATION REVIEWForm 990, Part VI, SECTION B, LineS 15a & BThe 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.
AVAILABILITY OF DOCUMENTSForm 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.

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