Civic Intelligence

North Central Texas Community Health

EIN 75-2429644 • 501(c)3 • Wichita Falls, TX

Profile

Provide access to quality, affordable, primary care and preventive services by reaching out to everyone, including the underserved. See schedule o for more information.

PO Box 720Wichita Falls, TX 76307

www.chcwf.com

Siviq Scores

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

Liabilities / Assets

50th percentile

0.21x

Higher debt load relative to assets than 50% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

31st percentile

0.13x

Higher debt load relative to revenue than 31% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

29th percentile

-1.8%

Higher net margin than 29% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

97th percentile

$1,818,168

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 5.0% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

16th percentile

-4.4%

Faster asset growth than 16% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

43rd percentile

4.9%

Faster revenue growth than 43% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$23,864,942

Up $5,078,049 (+27%) from 2022

Liabilities

Up

$5,375,585

Up $1,726,397 (+47%) from 2022

Net Assets

Up

$18,489,357

Up $3,351,652 (+22%) from 2022

Revenue

Up

$34,954,921

Up $4,557,592 (+15%) from 2022

Expenses

Up

$31,603,269

Up $2,455,632 (+8.4%) from 2022

Net Income

Up

$3,351,652

Up $2,101,960 (+168%) from 2022

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2011: $8,972,263Liabilities 2011: $301,511Net Assets 2011: $8,670,7522011Assets 2012: $8,311,098Liabilities 2012: $445,988Net Assets 2012: $7,865,1102012Assets 2013: $8,304,812Liabilities 2013: $513,447Net Assets 2013: $7,791,3652013Assets 2014: $10,594,684Liabilities 2014: $612,227Net Assets 2014: $9,982,4572014Assets 2015: $9,805,995Liabilities 2015: $471,301Net Assets 2015: $9,334,6942015Assets 2016: $9,443,295Liabilities 2016: $719,655Net Assets 2016: $8,723,6402016Assets 2017: $10,049,567Liabilities 2017: $1,039,442Net Assets 2017: $9,010,1252017Assets 2018: $9,252,042Liabilities 2018: $1,314,854Net Assets 2018: $7,937,1882018Assets 2019: $10,870,776Liabilities 2019: $1,663,665Net Assets 2019: $9,207,1112019Assets 2020: $14,394,669Liabilities 2020: $4,794,125Net Assets 2020: $9,600,5442020Assets 2021: $16,688,407Liabilities 2021: $2,800,394Net Assets 2021: $13,888,0132021Assets 2022: $18,786,893Liabilities 2022: $3,649,188Net Assets 2022: $15,137,7052022Assets 2023: $23,864,942Liabilities 2023: $5,375,585Net Assets 2023: $18,489,3572023

Highlighted filing

2023

Assets$23,864,942
Liabilities$5,375,585
Net Assets$18,489,357

Operations Trend

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

$40M$30M$20M$10M$0-$10MRevenue 2011: $9,828,076Expenses 2011: $9,669,488Net Income 2011: $158,5882011Revenue 2012: $9,391,277Expenses 2012: $10,196,919Net Income 2012: -$805,6422012Revenue 2013: $10,147,000Expenses 2013: $10,220,745Net Income 2013: -$73,7452013Revenue 2014: $11,853,867Expenses 2014: $9,662,775Net Income 2014: $2,191,0922014Revenue 2015: $9,718,053Expenses 2015: $10,365,816Net Income 2015: -$647,7632015Revenue 2016: $10,627,171Expenses 2016: $11,238,225Net Income 2016: -$611,0542016Revenue 2017: $16,693,623Expenses 2017: $16,407,138Net Income 2017: $286,4852017Revenue 2018: $20,907,755Expenses 2018: $21,980,692Net Income 2018: -$1,072,9372018Revenue 2019: $23,132,824Expenses 2019: $21,862,901Net Income 2019: $1,269,9232019Revenue 2020: $24,917,037Expenses 2020: $24,523,604Net Income 2020: $393,4332020Revenue 2021: $30,719,476Expenses 2021: $26,432,007Net Income 2021: $4,287,4692021Revenue 2022: $30,397,329Expenses 2022: $29,147,637Net Income 2022: $1,249,6922022Revenue 2023: $34,954,921Expenses 2023: $31,603,269Net Income 2023: $3,351,6522023

Highlighted filing

2023

Revenue$34,954,921
Expenses$31,603,269
Net Income$3,351,652

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$23.9$5.38$18.5$35.0$31.6$3.35
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.8$3.65$15.1$30.4$29.1$1.25
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.7$2.80$13.9$30.7$26.4$4.29
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.4$4.79$9.60$24.9$24.5$0.39
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.9$1.66$9.21$23.1$21.9$1.27
2018Summary only. Only limited summary data is available for this year.$9.25$1.31$7.94$20.9$22.0$1.07
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.0$1.04$9.01$16.7$16.4$0.29
2016Detailed filing. Detailed filing data is available for this year.$9.44$0.72$8.72$10.6$11.2$0.61
2015Detailed filing. Detailed filing data is available for this year.$9.81$0.47$9.33$9.72$10.4$0.65
2014Summary only. Only limited summary data is available for this year.$10.6$0.61$9.98$11.9$9.66$2.19
2013Summary only. Only limited summary data is available for this year.$8.30$0.51$7.79$10.1$10.2$0.07
2012Summary only. Only limited summary data is available for this year.$8.31$0.45$7.87$9.39$10.2$0.81
2011Summary only. Only limited summary data is available for this year.$8.97$0.30$8.67$9.83$9.67$0.16
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 16, 2022
Return Version
2020v4.1
Gross Receipts
$30,719,580
Mission and Program Overview

Mission

Provide access to quality, affordable, primary care and preventive services by reaching out to everyone, including the underserved. See schedule o for more information.

TO PROVIDE ACCESS TO QUALITY AFFORDABLE PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES IN A SAFE ENVIRONMENT TO THE UNDERSERVED RESIDENTS OF NORTH CENTRAL TEXAS. See Schedule O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$6,826,951$6,753,533▼ $73,418
Savings and Temporary Cash Investments$3,971,013$2,829,077▼ $1,141,936
Cash and Non-Interest-Bearing Accounts$596,504$2,483,097▲ $1,886,593
Pledges and Grants Receivable$1,416,187$2,072,796▲ $656,609
Accounts Receivable$1,069,380$1,615,183▲ $545,803
Inventories for Sale or Use$288,951$709,272▲ $420,321
Prepaid Expenses and Deferred Charges$225,683$225,449▼ $234
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$14,394,669$16,688,407▲ $2,293,738
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$1,615,832$1,907,586▲ $291,754
Mortgage Notes Payable Secured by Investment Property$87,500$717,500▲ $630,000
Other Liabilities$3,090,793$175,308▼ $2,915,485
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$4,794,125$2,800,394▼ $1,993,731
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$9,435,030$13,791,025▲ $4,355,995
Net Assets With Donor Restrictions$165,514$96,988▼ $68,526
Total Net Assets Fund Balance$9,600,544$13,888,013▲ $4,287,469
Total Liabilities and Net Assets / Fund Balance$14,394,669$16,688,407▲ $2,293,738

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,997,031$4,433,758$10,430,789
Equipment$551,296$3,259,913$3,811,209
Land$205,206-$205,206
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Bruce Rajala DoPhysicianFT$1,210,840$600$1,211,440
Terry Johnson MdPediatricianFT$559,523$41,259$600,782
Ellaheh Ebrahim MdCMOFT$381,312$42,643$423,955
Pukhraj Rai MdPediatricianFT$265,546$33,949$299,495
Yao Huang MdPhysicianFT$259,071$35,649$294,720
Brock Pierce MdPhysicianFT$257,012$200$257,212
Allen PattersonCEOFT$193,520$43,476$236,996
Kristi MccaslandCfooFT$183,084$21,642$204,726

Board Members and Trustees

NameTitle
Stephen SheltonChairman
Glenn BarhamVice Chairman
Alicia PerezDirector
Angela StahlerDirector
Ashvin Patel MdDirector
David Flack MdDirector
David WolvertonDirector
James TippitDirector
Kris GossomDirector
Rick SchleiderDirector
Roger PalmaDirector
Russell BryantDirector
Susan ReaganDirector
Virgil NesbitDirector
Wesley HolmesDirector
Allison DuncanSecretary
Iliana JaramilloTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Beauty Star INCMedical Supplier1641 NILE DR, Corpus Christi, TX 78412$403,424
Tlc JanitorialJanitorial3002 SAXET, Wichita Falls, TX 76306$108,090
Revenue and Support

Revenue Composition

Contributions and Grants
$10,715,898
Program Service Revenue
$19,824,410
Investment Income
$2,842
Other Revenue
$176,326
All Other Contributions
$1,485,869
Change in Net Assets
$4,287,469

Noncash Contribution Practices

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

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies10$194,617Fair Market Value (FMV)
Total Noncash Contributions10$194,617-

Audited Revenue Reconciliation

Revenue per Audited Statements
$30,660,729
Revenue Not Reported on Financial Statements
$58,747
Revenue Not Reported on Form 990
$-974,038
Other Revenue Adjustments
$58,747
Total Revenue per Audited Statements
$29,686,691
Total Revenue per Form 990
$30,719,476
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$19,113,673
Other Expenses$7,316,313
Grants and Similar Amounts Paid$2,021
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,821,880$2,430,231-$15,252,111
Other Employee Benefits$1,284,750$258,399-$1,543,149
Office Expenses$793,070$392,937-$1,186,007
Payroll Taxes$716,502$168,068-$884,570
Current Officers, Directors, Trustees, and Key Employees$127,187$738,491-$865,678
Occupancy$518,300$121,576-$639,876
Information Technology$289,233$279,111-$568,344
Pension Plan Contributions$488,867$79,298-$568,165
Depreciation Depletion$504,650$62,508-$567,158
Fees for Services Other$404,109$91,001-$495,110
Insurance$208,825$45,422-$254,247
Advertising-$172,413-$172,413
Travel$85,814$33,981-$119,795
Fees for Services Accounting-$94,612-$94,612
Conferences and Meetings$34,608$40,252-$74,860
Other Expenses$17,227$44,192-$61,419
All Other Expenses-$57,107-$57,107
Fees for Services Legal-$20,628-$20,628
Grants to Domestic Individuals$2,021--$2,021
Total Functional Expenses$21,270,150$5,161,857$0$26,432,007

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$26,432,007
Total Expenses per Audited Statements$25,355,696
Expenses per Audited Statements$24,922,441
Expenses Not Reported on Financial Statements$1,509,566
Other Expense Adjustments$1,509,566
Expenses Not Reported on Form 990$433,255
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Est Self Insurance Cost$175,308
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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

Process to review the form 990: the form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. A final copy is presented to each voting member to review and ask questions before filing. The organization's officers also review the form 990 prior to it being filed with the irs.

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

Process to monitor compliance with conflict of interest policy: when new board members start their volunteer services, they are required to sign the board of directors-conflict of interest disclosure. After starting their service, each board member and employee is required annually to sign a new conflict of interest disclosure. The disclosure they sign instructs them that if their situation changes, they are required to inform the chairman of the board of directors in writing. The chairman will then inform the remaining board members. If a conflict is identified, the director abstains from discussion and voting.

Form 990, Part VI, Section B, Line 15A

Ceo and top management official compensation review: the board of directors annually reviews the chief executive officer's performance and determines compensation. This discussion is documented in the minutes. Salaries are set using comparative data from other community health centers of similar operational and financial size.

Form 990, Part VI, Section B, Line 15B

Other officers and key employees compensation review: the chief executive officer determines compensation of other officers and key employees based on data for comparable positions at similar organizations contained in the health center compensation and benefits report published annually by the national association of community health centers, inc. Documentation of the reviews are filed with the human resources department.

Form 990, Part VI, Section C, Line 19

Availability of documents: the governing documents, conflict of interest policy, and financial statements are available by request for onsite viewing.

Form 990, Part VI, Section A, Line 1A

Delegation of authority: the executive/by-laws committee can recommend new policies or take action upon impromptu cases as may arise wh the board is not in session and shall generally perform such duties and exercise such powers as may be performed and exercised by the governing board from time to time. The fact that the committee has acted shall be conclusive evidence that the governing board was not in session at such time. The committee cannot create new policies, nor change any policy previously adopted by the board of directors. The committee shall not modify any actions taken by the board of directors. The committee shall report on the actions it takes between meetings at the next meeting of the full board. The board shall ratify these decisions by majority vote. If the board opposes a particular decision of the committee, a vote shall be taken to reverse the decision.

Filing and Contact Details

Filer

Filer Name
North Central Texas Community Health Care
EIN
75-2429644
In Care Of
% CHAD MINNIX
Phone
9407666306
Address
PO Box 720, Wichita Falls, TX 76307
Doing Business As
Community Healthcare Center

Signing Officer

Name
Allen Patterson
Title
CEO
Phone
9407611697
Signed
2022-05-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Allen Patterson
Formed
1992
Legal Domicile
TX
Voting Board Members
17
Independent Board Members
17
Employees
387
Volunteers
21

Preparer

Firm
Bkd Llp
Address
14241 DALLAS PARKWAY SUITE 1100, DALLAS, TX 75254
Preparer
Jeanette Verrelli
Phone
9727028262
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

Organization's mission or most significant activities: community healthcare center's mission and goal is to provide access to quality, affordable, primary care and preventative services by reaching out to everyone, including the underserved. Program services are delivered through six sites: our main clinic, dental clinic, 3rd street clinic, pediatric clinic, the juarez clinic, and our mckinney, tx clinic. The center employs a patient centered medical home care delivery model emphasizing choice and feedback, 24-7 access, collaborative relationships with patients, and superior care coordination between center providers and area specialists. In recognition of satisfactory adoption of this model, the center has been certified by the joint commission as a patient centered medical home in addition to the joint commission's accreditation in recognition of efforts to provide high quality patient care and maximize patient safety efforts.

Form 990, Part III, Line 4A

Medical services: in addition to primary care services, community healthcare center takes advantage of programs which may provide eligible patients with services at no cost to them. Breast and cervical cancer control services program: this program targets women ages 40 years and older and african american women, both of whom have a greater incidence of death due to undetected breast and cervical cancers. Community healthcare center provides eligibility services to identify women who qualify for the following related services at no cost to them. Services covered under the program include mammograms, breast ultrasounds, breast biopsies, pap smears, colposcopies with or without biopsies, and surgical consults. Referrals to specialists are coordinated when necessary. Adult diabetic eye screening: community healthcare center added eye screening for adult diabetic patients in 2013. Nurse-family partnership outreach program: nfp is an evidence-based, community health program that helps transform the lives of vulnerable mothers who are pregnant with their first child. Each mother in nfp is partnered with a registered nurse early in her pregnancy and receives ongoing nurse home visits that continue through her child's second birthday.

Form 990, Part III, Line 4C

Counseling: behavioral therapy is focused on helping patients understand how changing their behavior can lead to changes in how they are feeling. The goal is usually focused on increasing a patient's engagement in positive ways or socially reinforcing activities. Behavior therapy is a structured approach that carefully measures what the person is doing and then seeks to increase chances for positive experience. Specifically, it helps patients: - identify behaviors that interfere with their having good health - identify positive changes they want to make - develop a plan of positive changes they can make immediately - develop a plan for future positive changes - monitor and their plan as behavior is shaped pharmacy: community healthcare center offers a discounted fee class d pharmacy for the convenience of patients, focusing on the provision of primary care drugs. Patients may have their prescriptions filled elsewhere, particularly for drugs not available in the center pharmacy. The center recognizes that even at a discounted rate, some patients may not be able to afford their medications. We offer assistance programs to eligible patients to further defray costs. Patient pharmaceutical assistance program: as drug costs continue to soar, obtaining prescriptions is often the stumbling block in the continuum of care. Some pharmaceutical companies offer an array of medications available in 90-day supplies at no charge; however, each company has unique processes and requirements. Community healthcare center staff are available to assist patients in navigating the four to six week application process. The center also participates in a sponsored prescription program. A donor supplies the center with a limited variety of medications that treat common ailments associated with a primary care clinic. When one of these drugs is prescribed, a patient who meets the financial qualifications of the program can receive these discounted medications. Center providers and staff make every effort to coordinate these services for eligible patients whenever a program drug is prescribed. Health education: the organization provides information regarding illness and disease-related facts as well as nutrition, diet, and exercise. Outreach services: the organization provides the following: - screenings and education - eligibility workers to assist patients with local, state, and federal programs - department of human services works advisor is on-site for assistance with medicaid, food stamps, and tanf pediatric literacy: recognizing that literacy is the fundamental building block of education, community healthcare center is a reach out and read facility. Reach out and read trains doctors and nurses to advise parents on the importance of reading aloud. The program began in 1989 at boston city hosp when nurses and doctors brought books to the pediatric waiting area so that children and parents could read together while waiting for an appointment. The program emphasizes the importance of literacy as part of preventive checkups for children 6 months to 5 years of age. New developmentally appropriate books are presented to these young patients at each well-child checkup.

Financial Statement Notes

Schedule D, Part X, Line 2

Asc 740 footnote: management 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.

Schedule D, Part XI, Line 2D

Reconciliation of revenue per audited financials with return: bad debt $(1,509,566) net assets released from restriction 102,377 ----------- total $(1,407,189)

Schedule D, Part XI, Line 4B

Reconciliation of revenue per audited financials with return: additional contributions with restrictions $58,851 loss on disposal of assets (104) ----------- total $58,747

Schedule D, Part XII, Line 4B

Reconciliation of expenses per audited financials with return: bad debt $1,509,566

Schedule D, Part XII, Line 2D

Reconciliation of expenses per audited financials with return: loss on disposal of assets $104

Raw XML AppendixShowing 400 of 851 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/ActivityOrMissionDesc0TO PROVIDE ACCESS TO QUALITY AFFORDABLE PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES IN A SAFE ENVIRONMENT TO THE UNDERSERVED RESIDENTS OF NORTH CENTRAL TEXAS. See Schedule O
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