Civic Intelligence

Cross Timbers Health Clinics Inc

EIN 75-2113670 • 501(c)3 • DE Leon, TX

Profile

Cross timbers health clinics provides affordable healthcare for patients of all income levels in the texas communities of brownwood, de leon, stephenville and the surounding areas using a sliding fee scale based on income as compared to federal poverty levels. Healthcare services include family medicine (primary healthcare, immunizations for children and adults, family planning, chronic care, prevention healthcare, health education and laboratory services), women's health (pregnancy testing, pre-pregnancy counseling, prenateal care, well-woman care and gynecological services), behavioral health (assessment, diagnosis and treatment therapy for individuals, couples and families) and family dental care.

1100 West Reynosa StreetDE Leon, TX 76444

www.accelhc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

68th percentile

0.37x

Higher debt load relative to assets than 68% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

60th percentile

0.33x

Higher debt load relative to revenue than 60% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

24th percentile

-5.1%

Higher net margin than 24% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

72nd percentile

$266,801

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

14th percentile

-7.2%

Faster asset growth than 14% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

12th percentile

-22%

Faster revenue growth than 12% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$14,144,685

Down $1,101,915 (-7.2%) from 2023

Liabilities

Down

$5,268,630

Down $289,320 (-5.2%) from 2023

Net Assets

Down

$8,876,055

Down $812,595 (-8.4%) from 2023

Revenue

Down

$16,015,380

Down $4,511,491 (-22%) from 2023

Expenses

Up

$16,835,953

Up $234,226 (+1.4%) from 2023

Net Income

Down

-$820,573

Down $4,745,717 (-121%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $3,658,867Liabilities 2010: $1,516,155Net Assets 2010: $2,142,7122010Assets 2011: $4,536,995Liabilities 2011: $2,350,597Net Assets 2011: $2,186,3982011Assets 2012: $4,085,031Liabilities 2012: $2,024,599Net Assets 2012: $2,060,4322012Assets 2013: $4,283,889Liabilities 2013: $1,784,637Net Assets 2013: $2,499,2522013Assets 2014: $4,282,355Liabilities 2014: $1,709,780Net Assets 2014: $2,572,5752014Assets 2015: $4,207,201Liabilities 2015: $1,573,853Net Assets 2015: $2,633,3482015Assets 2016: $4,243,217Liabilities 2016: $1,630,804Net Assets 2016: $2,612,4132016Assets 2017: $4,326,517Liabilities 2017: $1,417,117Net Assets 2017: $2,909,4002017Assets 2018: $4,779,303Liabilities 2018: $1,417,270Net Assets 2018: $3,362,0332018Assets 2019: $5,250,969Liabilities 2019: $1,247,182Net Assets 2019: $4,003,7872019Assets 2020: $6,505,026Liabilities 2020: $2,527,890Net Assets 2020: $3,977,1362020Assets 2022: $10,112,076Liabilities 2022: $4,341,263Net Assets 2022: $5,770,8132022Assets 2023: $15,246,600Liabilities 2023: $5,557,950Net Assets 2023: $9,688,6502023Assets 2024: $14,144,685Liabilities 2024: $5,268,630Net Assets 2024: $8,876,0552024

Highlighted filing

2024

Assets$14,144,685
Liabilities$5,268,630
Net Assets$8,876,055

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $7,692,1082010Expenses 2011: $8,529,2452011Expenses 2012: $8,227,8472012Expenses 2013: $6,993,4682013Revenue 2014: $7,284,854Expenses 2014: $7,211,531Net Income 2014: $73,3232014Revenue 2015: $7,876,867Expenses 2015: $7,816,094Net Income 2015: $60,7732015Revenue 2016: $8,533,479Expenses 2016: $8,556,172Net Income 2016: -$22,6932016Revenue 2017: $8,931,699Expenses 2017: $8,634,712Net Income 2017: $296,9872017Revenue 2018: $9,741,913Expenses 2018: $9,289,280Net Income 2018: $452,6332018Revenue 2019: $10,281,587Expenses 2019: $9,649,899Net Income 2019: $631,6882019Revenue 2020: $11,399,664Expenses 2020: $11,429,394Net Income 2020: -$29,7302020Revenue 2022: $13,875,687Expenses 2022: $13,426,358Net Income 2022: $449,3292022Revenue 2023: $20,526,871Expenses 2023: $16,601,727Net Income 2023: $3,925,1442023Revenue 2024: $16,015,380Expenses 2024: $16,835,953Net Income 2024: -$820,5732024

Highlighted filing

2024

Revenue$16,015,380
Expenses$16,835,953
Net Income-$820,573

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.1$5.27$8.88$16.0$16.8$0.82
2023Detailed filing. Detailed filing data is available for this year.$15.2$5.56$9.69$20.5$16.6$3.93
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.1$4.34$5.77$13.9$13.4$0.45
2020Detailed filing. Detailed filing data is available for this year.$6.51$2.53$3.98$11.4$11.4$0.03
2019Detailed filing. Detailed filing data is available for this year.$5.25$1.25$4.00$10.3$9.65$0.63
2018Detailed filing. Detailed filing data is available for this year.$4.78$1.42$3.36$9.74$9.29$0.45
2017Detailed filing. Detailed filing data is available for this year.$4.33$1.42$2.91$8.93$8.63$0.30
2016Detailed filing. Detailed filing data is available for this year.$4.24$1.63$2.61$8.53$8.56$0.02
2015Detailed filing. Detailed filing data is available for this year.$4.21$1.57$2.63$7.88$7.82$0.06
2014Detailed filing. Detailed filing data is available for this year.$4.28$1.71$2.57$7.28$7.21$0.07
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.28$1.78$2.50$6.99
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.09$2.02$2.06$8.23
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.54$2.35$2.19$8.53
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.66$1.52$2.14$7.69
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Dec 1, 2023 to Nov 30, 2024
Signed
Oct 13, 2025
Return Version
2023v6.0
Gross Receipts
$16,015,380
Mission and Program Overview

Mission

Cross timbers health clinics provides affordable, professional healthcare to all.

Cross timbers health clinics provides exceptional healthcare to the communities we serve for the cross timbers region through caring, compassionate healing, with medical, dental, and behavioral health access.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$9,808,936$10,124,353▲ $315,417
Cash and Non-Interest-Bearing Accounts$3,748,302$2,529,855▼ $1,218,447
Savings and Temporary Cash Investments$390,357$414,365▲ $24,008
Accounts Receivable$328,105$340,505▲ $12,400
Prepaid Expenses and Deferred Charges$85,114$121,927▲ $36,813
Pledges and Grants Receivable$100,792$85,488▼ $15,304
Inventories for Sale or Use$188$145▼ $43
Total Assets$15,246,600$14,144,685▼ $1,101,915
Other Assets Total$784,806$528,047▼ $256,759
Liabilities
Mortgage Notes Payable Secured by Investment Property$4,778,201$4,519,859▼ $258,342
Accounts Payable and Accrued Expenses$779,749$748,771▼ $30,978
Total Liabilities$5,557,950$5,268,630▼ $289,320
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$9,681,391$8,868,796▼ $812,595
Net Assets With Donor Restrictions$7,259$7,259→ $0
Total Net Assets Fund Balance$9,688,650$8,876,055▼ $812,595
Total Liabilities and Net Assets / Fund Balance$15,246,600$14,144,685▼ $1,101,915

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$6,091,236$3,828,698$9,919,934
Equipment$2,953,342-$2,953,342
Land$917,864-$917,864
Other Land Buildings$161,911-$161,911
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Charles ChildersCMOFT$266,801$266,801
Joe Hubbard JrPhysicianFT$259,675$259,675
Roy ByrdPhysicianFT$237,537$237,537
Tom ByrdPhysicianFT$216,046$216,046
Rami KoroCDOFT$200,660$200,660
Esther TaylorCEOFT$179,090$179,090
Michael CloyCMOFT$178,222$178,222
Michelle StoneCFOFT$127,173$127,173
Melisssa LavenderCOOFT$116,401$116,401
Mark MurphyCIOFT$94,619$94,619

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
340b Technologies INC340b AdministratorPO BOX 8067, Carol Stream, IL 60197$384,452
Rd ConstructionConstruction Contractor1190 W LONG STREET, Stephenville, TX 76401$179,250
Signs Express PlusSignage ContractorPO BOX 1292, Stephenville, TX 76401$178,955
LabcorpLab ServicesPO BOX 12140, Burlington, NC 27216$168,170
Texas - CleanCleaning ServicesPO BOX 12, Brownwood, TX 76804$113,150
Revenue and Support

Revenue Composition

Contributions and Grants
$4,526,021
Program Service Revenue
$11,398,317
Investment Income
$67,639
Other Revenue
$23,403
All Other Contributions
$127,600
Change in Net Assets
$-820,573

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies12$127,479Fair Market Value
Total Noncash Contributions12$127,479-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$9,028,788
Other Expenses$7,807,165
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,648,233$820,276-$5,468,509
Fees for Services Other$3,908,921$689,810-$4,598,731
Current Officers, Directors, Trustees, and Key Employees$1,594,791$281,434-$1,876,225
Other Employee Benefits$867,657$153,116-$1,020,773
Depreciation Depletion$494,123$87,198-$581,321
Payroll Taxes$452,951$79,933-$532,884
Office Expenses$386,820$68,262-$455,082
Information Technology$327,972$57,877-$385,849
Occupancy$257,670$45,471-$303,141
Interest$162,211$28,625-$190,836
Insurance$115,927$20,458-$136,385
Pension Plan Contributions$110,837$19,560-$130,397
Conferences and Meetings$98,064$17,305-$115,369
Travel$76,820$13,557-$90,377
Advertising$54,805$9,671-$64,476
Fees for Services Accounting-$43,754-$43,754
Fees for Services Legal$5,668$1,000-$6,668
Other Expenses$4,434$782-$5,216
Total Functional Expenses$14,273,370$2,562,583$0$16,835,953
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

An independent accounting firm prepares and reviews the 990. The 990 is then reviewed by the ceo and cfo of cross timbers health clinics, inc. Any questions or concerns are addressed and any needed corrections or clarifications are made. The final 990 with all required schedules is then provided to all voting members of the board prior to filing.

Form 990, Part VI, Section B, Line 12C

The corporation's conflict of interest policy encompasses officers, board members, and employees. Board members sign an agreement to comply with the terms of the bylaws when they become board members. The bylaws state if a director has a financial interest in a matter that comes before the board, the director must excuse him or herself from voting. With any conflict of interest, the board member will announce it before the discussion of the matter, will abstain from any discussion, and leave the room during the vote. Additionally, it states the clinic does not employ members of the board of directors or their family members. The company self monitors and investigates any occurrences that is brought to the company's attention. For employees, the ceo, cfo, or coo will evaluate the conflict depending on the employee. Neither will make a determination if it is an employee that reports to them. If the conflict is with the coo or cfo, the other one will make the determination and if it is both coo and cfo, the ceo will decide. If the conflict is with the ceo, the board will decide.

Form 990, Part VI, Section B, Line 15

The ceo is selected and evaluated annually through a performance review by the board of directors. Directors shall serve without compensation. However, reasonable expenses incurred in attendance at meetings or functions with the corporation may be reimbursed if approved in advance by the board of directors. Reimbursements will be at the rates afforded the corporation employees and in accordance with corporation policies and procedures. A benchmark salary range for all clinic positions is established based upon independent salary surveys done by professional medical management associations such as mgma. The company maintains documentation of the results of the deliberations and decisions regarding the compensation arrangement.

Form 990, Part VI, Section C, Line 19

Except as provided in the forms 990s and 1023, the organization does not make its governing documents, conflict of interest policy and financials statements available to the public.

Filing and Contact Details

Filer

Filer Name
Cross Timbers Health Clinics Inc
EIN
75-2113670
Phone
2548935895
Address
1100 WEST REYNOSA STREET, DE LEON, TX 76444

Signing Officer

Name
Michelle Stone
Title
CFO
Phone
2548935895
Signed
2025-10-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michelle Stone
Formed
1986
Legal Domicile
TX
Voting Board Members
11
Independent Board Members
11
Employees
145
Volunteers
0

Preparer

Firm
D & Co Llp
Address
1500 BROADWAY SUITE 1000, LUBBOCK, TX 79401
Preparer
Tommy Davis
Phone
8067911591
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Purchased services: program service expenses 3,908,921. Management and general expenses 689,810. Fundraising expenses 0. Total expenses 4,598,731.

Financial Statement Notes

PART X, LINE 2:

Cthc is a not-for-profit organization that is exempt from income taxes under section 501(c)(3) of the internal revenue code. Cthc evaluates and accounts for uncertain tax positions in accordance with financial accounting standards board (fasb) accounting standards codification (asc) 740, income taxes (formerly fasb interpretation 48 (fin 48) accounting for uncertainty in income taxes. This standard requires certain disclosures about uncertain income tax positions. Cthc evaluates any uncertain tax positions using the provisions of asc 450, contingencies. As a result, management does not believe that any uncertain tax positions currently exist and no loss contingency has been recognized in the accompanying financial statements. Cthc has filed all applicable tax returns.

Raw XML AppendixShowing 400 of 699 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0CROSS TIMBERS HEALTH CLINICS PROVIDES EXCEPTIONAL HEALTHCARE TO THE COMMUNITIES WE SERVE FOR THE CROSS TIMBERS REGION THROUGH CARING, COMPASSIONATE HEALING, WITH MEDICAL, DENTAL, AND BEHAVIORAL HEALTH ACCESS.
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IRS990/Form990PartVIISectionAGrp/PersonNm1JACQUELINE ESCOBAR-GUTIERREZ
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IRS990/Form990PartVIISectionAGrp/PersonNm3ELIZABETH RUSSELL
IRS990/Form990PartVIISectionAGrp/PersonNm4ROBERT ALLGOOD
IRS990/Form990PartVIISectionAGrp/PersonNm5ROSANTINA ELIZONDO
IRS990/Form990PartVIISectionAGrp/PersonNm6JIM FARLEY
IRS990/Form990PartVIISectionAGrp/PersonNm7DELBERT TURNER
IRS990/Form990PartVIISectionAGrp/PersonNm8CRAIG WILLINGHAM
IRS990/Form990PartVIISectionAGrp/PersonNm9DOMONIQUE STEPHENS-GLAESKE
IRS990/Form990PartVIISectionAGrp/PersonNm10CHARLES ROBITAILLE
IRS990/Form990PartVIISectionAGrp/PersonNm11MARK MURPHY
IRS990/Form990PartVIISectionAGrp/PersonNm12MICHAEL CLOY
IRS990/Form990PartVIISectionAGrp/PersonNm13MELISSSA LAVENDER
IRS990/Form990PartVIISectionAGrp/PersonNm14ESTHER TAYLOR
IRS990/Form990PartVIISectionAGrp/PersonNm15MICHELLE STONE
IRS990/Form990PartVIISectionAGrp/PersonNm16CHARLES CHILDERS
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IRS990/Form990PartVIISectionAGrp/PersonNm18JOE HUBBARD JR
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IRS990/Form990PartVIISectionAGrp/PersonNm20RAMI KORO
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
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IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11CIO
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IRS990/MissionDesc0CROSS TIMBERS HEALTH CLINICS PROVIDES AFFORDABLE HEALTHCARE FOR PATIENTS OF ALL INCOME LEVELS IN THE TEXAS COMMUNITIES OF BROWNWOOD, DE LEON, STEPHENVILLE AND THE SUROUNDING AREAS USING A SLIDING FEE SCALE BASED ON INCOME AS COMPARED TO FEDERAL POVERTY LEVELS. HEALTHCARE SERVICES INCLUDE FAMILY MEDICINE (PRIMARY HEALTHCARE, IMMUNIZATIONS FOR CHILDREN AND ADULTS, FAMILY PLANNING, CHRONIC CARE, PREVENTION HEALTHCARE, HEALTH EDUCATION AND LABORATORY SERVICES), WOMEN'S HEALTH (PREGNANCY TESTING, PRE-PREGNANCY COUNSELING, PRENATEAL CARE, WELL-WOMAN CARE AND GYNECOLOGICAL SERVICES), BEHAVIORAL HEALTH (ASSESSMENT, DIAGNOSIS AND TREATMENT THERAPY FOR INDIVIDUALS, COUPLES AND FAMILIES) AND FAMILY DENTAL CARE.
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