CROSS TIMBERS HEALTH CLINICS INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CROSS TIMBERS HEALTH CLINICS INC (EIN 75-2113670)
Tax period: 2009-12-01 to 2010-11-30
Filed: 2011-08-29
IRS object ID: 201102419349300315
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-29T10:28:48-07:00	Timestamp
Tax Period End Date	2010-11-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Parrish Moody & Fikes PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	7901 Woodway Drive Suite 100	AddressLine1
City	Waco	City
State	TX	State
ZIP Code	76712	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-12-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	752113670	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Cross Timbers Health Clinics Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CROS	NameControl
Phone	2548935895	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 West Reynosa	AddressLine1
City	DeLeon	City
State	TX	State
ZIP Code	76444	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Mary Hallmark	Name
Title	CEO	Title
Date Signed	2011-08-29	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Carol S McIntosh CPA	Name
Phone	2547768244	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	8418183	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c	X	Organization501c
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	To provide quality primary health care and dental services to residents of its service area with an emphasis on providing affordable professional health and dental care to all -- regardless of income.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	116	TotalNbrEmployees
Total Nbr Volunteers	13	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	3528097	ContributionsGrantsPriorYear
Contributions Grants Current Year	3676825	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2515622	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4733441	ProgramServiceRevenueCY
Investment Income Prior Year	149	InvestmentIncomePriorYear
Investment Income Current Year	1013	InvestmentIncomeCurrentYear
Other Revenue Current Year	6904	OtherRevenueCurrentYear
Total Revenue Prior Year	6043868	TotalRevenuePriorYear
Total Revenue Current Year	8418183	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3390927	SalariesEtcPriorYear
Salaries Etc Current Year	4202961	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2318318	OtherExpensePriorYear
Other Expenses Current Year	3489147	OtherExpensesCurrentYear
Total Expenses Prior Year	5709245	TotalExpensesPriorYear
Total Expenses Current Year	7692108	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	334623	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	726075	RevenuesLessExpensesCY
Total Assets BOY	2451783	TotalAssetsBOY
Total Assets EOY	3658867	TotalAssetsEOY
Total Liabilities BOY	1035146	TotalLiabilitiesBOY
Total Liabilities EOY	1516155	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1416637	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2142712	NetAssetsOrFundBalancesEOY
Mission Description	To provide quality primary health care and dental services to residents of its service area with an emphasis on providing affordable professional health and dental care to all -- regardless of income.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	7050823	Expense
Revenue	4733640	Revenue
Description	Provided primary care health and dental services to its service area with over 39,000 patient encounters funded by a grant from the Public Health Service (Section 330 grant), Medicaid and Medicare.	Description
Total Program Service Expense	7050823	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	26	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	116	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Talia Peterson	NamePerson
Telephone Number	2548935895	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1100 West Reynosa	AddressLine1
City	DeLeon	City
State	TX	State
ZIP Code	76444	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Highest Compensated EmployeeHighestCompensatedEmployee	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer
William Walker DDS
Dentist	32.00	X	130385	0	19
Wendi Conway
Secretary	1.00		0	0	0	X	X
Tracy Penn PA-C
PA-C	40.00	X	105760	0	5870
Tom Letz
Director	1.00		0	0	0	X
Talia Peterson
CFO	40.00		32143	0	90		X
Sandra Clendenin
Director	1.00		0	0	0	X
Ronald P Livingston MD
CMO	40.00		175777	0	11419		X
Richard Isbell PA-C
FNP	40.00	X	98586	0	7777
Mary Hallmark
CEO	40.00		91726	0	5412		X
Lanell Williams
Vice President	1.00		0	0	0	X	X
Klarisa Posey FNP
FNP	0.	X	98628	0	8814
Kim Burke
Director	1.00		0	0	0	X
John Garner DO
Physician	36.00	X	152885	0	10426
James Thompson
President	1.00		0	0	0	X	X
Hiram Smith
Director	1.00		0	0	0	X
George Dudley
COO	40.00		42326	0	4120		X
Edwin A Green MD
Director	1.00		0	0	0	X
Ed Rodger
Director	1.00		0	0	0	X
Craig Willingham
Treasurer	1.00		0	0	0	X	X
Charles Robitaile
Director	1.00		0	0	0	X
Carla Mathews
Director	1.00		0	0	0	X
Alfonso E Pino MD
Director	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	928216	TotalReportableCompFromOrg
Total Other Compensation	53947	TotalOtherCompensation
Number Individuals GT100 K	4	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
True Love Consulting
PO Box 2019	Mt Juliet	TN	37121	Grant Consulting	142500
Principal Insurance
Dept 900 PO Box 14416	Des Moines	IA	50306	Health Insurance	270031
Lab Corp
231 Maple Ave	Burlington	NC	27215	Medical Lab Services	211315
Centex Sys Supp Svces
205 E University Ave Ste 200	Georgetown	TX	78628	Software Supp & Trng	120734

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Government Grants	3110316	GovernmentGrants
All Other Contributions	566509	AllOtherContributions
Noncash Contributions	566243	NoncashContributions
Total Contributions	3676825	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Patient revenues	Description
Total Revenue Column	4733441	TotalRevenueColumn
Related Or Exempt Function Income	4733441	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	4733441	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1013	TotalRevenueColumn
Exclusion	$1,013	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Rental Income	1100	$1,100
Refunds	1444	$1,444
Miscellaneous Income	3121	$3,121

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1239	TotalRevenueColumn
Related Or Exempt Function Income	199	RelatedOrExemptFunctionIncome
Exclusion	$1,040	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6904	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8418183	TotalRevenueColumn
Related Or Exempt Function Income	4733640	RelatedOrExemptFunctionIncome
Exclusion	$7,718	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	363013	Total
Management And General	363013	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3237136	Total
Program Services	3237136	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	38266	Total
Program Services	34612	ProgramServices
Management And General	3654	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	312617	Total
Program Services	301776	ProgramServices
Management And General	10841	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	251929	Total
Program Services	227858	ProgramServices
Management And General	24071	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	8555	Total
Management And General	8555	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	19702	Total
Management And General	19702	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	477445	Total
Program Services	425930	ProgramServices
Management And General	51515	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	37536	Total
Program Services	37536	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	951013	Total
Program Services	873201	ProgramServices
Management And General	77812	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	102182	Total
Program Services	102182	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	96909	Total
Program Services	96909	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	98579	Total
Program Services	87134	ProgramServices
Management And General	11445	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	45232	Total
Management And General	45232	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	107188	Total
Program Services	107188	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	34883	Total
Program Services	29658	ProgramServices
Management And General	5225	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Printing and Publications	28365	28365
Postage and Shipping	16963	16963
Non-Medical registration fees	18786		18786
Licenses and fees	17163	17163
Bad debts	1403547	1403547

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	25099	Total
Program Services	23665	ProgramServices
Management And General	1434	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	7692108	Total
Program Services	7050823	ProgramServices
Management And General	641285	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	275876	BOY
EOY	689315	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	125000	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	76494	BOY
EOY	556880	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	148221	BOY
EOY	195977	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	20108	BOY
EOY	22567	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2853	BOY
EOY	28700	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3081256	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1040828	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1928231	BOY
EOY	2040428	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2451783	BOY
EOY	3658867	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	294323	BOY
EOY	565879	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	68168	BOY
EOY	374072	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	672655	BOY
EOY	576204	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1035146	BOY
EOY	1516155	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1416637	BOY
EOY	2142712	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1416637	BOY
EOY	2142712	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2451783	BOY
EOY	3658867	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2401984	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2974874	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3977293	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3528097	CurrentTaxYearMinus1Year
Current Tax Year	3676825	CurrentTaxYear
Total	16559073	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2401984	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2974874	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3977293	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3528097	CurrentTaxYearMinus1Year
Current Tax Year	3676825	CurrentTaxYear
Total	16559073	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	16559073	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2107	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1592	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2029	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	149	CurrentTaxYearMinus1Year
Current Tax Year	1013	CurrentTaxYear
Total	6890	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	16565963	TotalSupport
Public Support Pertcentage170	0.99960	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	93056	OtherCostOrOtherBasis
Book Value	93056	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2025085	OtherCostOrOtherBasis
Depreciation	369960	Depreciation
Book Value	1655125	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	963115	OtherCostOrOtherBasis
Depreciation	670868	Depreciation
Book Value	292247	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2040428	TotalOfBookValueLandBuildings
Total Revenue	8418183	TotalRevenue
Total Expenses	7692108	TotalExpenses
Excess Or Deficit For Year	726075	ExcessOrDeficitForYear
Excess Or Deficit Per FS	726075	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	8418183	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	8418183	RevenueSubtotal
Total Revenue Per Form990	8418183	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	7692108	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	7692108	ExpensesSubtotal
Total Expenses Per Form990	7692108	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
Ronald P Livingston MD
175777	5237	6182	187196
John Garner DO
152885	4244	6182	163311

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	10	NumberOfContributions
Noncash Contribs Rptd F990	566243	NoncashContribsRptdF990
Method Of Determining Revenues	Fair Mket Valu	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Organizational governing documents, conflict of interest policy and financial statements are made available to the public upon request.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	A benchmark salary range for all clinic positions is established based upon independent salary surveys done by professional medical management associations such as MGMA.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	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, then the director must excuse him or herself from voting. Additionally, it states the clinic does not employ members of the Board of Directors or their family members.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	Form 990 is reviewed by a board committee and is made available to the entire board for review prior to filing.