Civic Intelligence

North Central Texas Community Health Care Center Inc.

990 • Fiscal year 2022 • EIN 75-2429644

Jul 01, 2021 to Jun 30, 2022 • Filed on May 15, 2023

PO Box 720Wichita Falls, TX 76307

(940) 766-6306

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

47th percentile

0.19x

Higher debt load relative to assets than 47% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Liabilities / Revenue

28th percentile

0.12x

Higher debt load relative to revenue than 28% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Net Margin

44th percentile

4.1%

Higher net margin than 44% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Top Officer Pay

97th percentile

$1,699,299

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 5.6% of source-year revenue.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Asset Growth

75th percentile

13%

Faster asset growth than 75% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2021 to 2022

Revenue Growth

39th percentile

-1.0%

Faster revenue growth than 39% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2021 to 2022

Assets

Up

$18,786,893

Up $2,098,486 (+13%) from 2021

Net Assets

Up

$15,137,705

Up $1,249,692 (+9.0%) from 2021

Liabilities

Up

$3,649,188

Up $848,794 (+30%) from 2021

Revenue

Down

$30,397,329

Down $322,147 (-1.0%) from 2021

Expenses

Up

$29,147,637

Up $2,715,630 (+10%) from 2021

Net Income

Down

$1,249,692

Down $3,037,777 (-71%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2022

Assets$18,786,893
Liabilities$3,649,188
Net Assets$15,137,705

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2022

Revenue$30,397,329
Expenses$29,147,637
Net Income$1,249,692
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
May 15, 2023
Return Version
2021v4.2
Gross Receipts
$30,397,329
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$6,753,533$6,435,447▼ $318,086
Savings and Temporary Cash Investments$2,829,077$5,272,181▲ $2,443,104
Pledges and Grants Receivable$2,072,796$2,734,604▲ $661,808
Cash and Non-Interest-Bearing Accounts$2,483,097$1,923,737▼ $559,360
Accounts Receivable$1,615,183$1,309,009▼ $306,174
Inventories for Sale or Use$709,272$751,968▲ $42,696
Prepaid Expenses and Deferred Charges$225,449$359,947▲ $134,498
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$16,688,407$18,786,893▲ $2,098,486
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$1,907,586$2,435,997▲ $528,411
Mortgage Notes Payable Secured by Investment Property$717,500$666,626▼ $50,874
Deferred Revenue$0$371,257▲ $371,257
Other Liabilities$175,308$175,308→ $0
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$2,800,394$3,649,188▲ $848,794
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$13,791,025$14,977,875▲ $1,186,850
Net Assets With Donor Restrictions$96,988$159,830▲ $62,842
Total Net Assets Fund Balance$13,888,013$15,137,705▲ $1,249,692
Total Liabilities and Net Assets / Fund Balance$16,688,407$18,786,893▲ $2,098,486

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,580,246$4,850,543$10,430,789
Equipment$649,995$3,324,574$3,974,569
Land$205,206-$205,206
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Bruce Rajala DoPhysicianFT$1,698,974$325$1,699,299
Brock Pierce MdPhysicianFT$957,344$18,634$975,978
Terry Johnson MdPediatricianFT$591,936$46,471$638,407
Ellaheh Ebrahim MdCMOFT$453,413$51,627$505,040
Pukhraj Rai MdPediatricianFT$351,634$41,906$393,540
Akshay Kaushal DdsChief Dental OfficerFT$150,213$119,607$269,820
Allen PattersonCEOFT$199,172$60,899$260,071
Chad MinnixCFO, START: 08/21FT$145,278$23,755$169,033
Kristi MccaslandCFO, END: 08/21FT$118,713$37,757$156,470

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Anthony Inman ConstructionConstruction3000 BUCHANAN, Wichita Falls, TX 76308$358,476
Texoma Janitorial ServicesJanitorial1708 ELIZABETH AVE, Wichita Falls, TX 76301$158,580
ArunlimitedMedical Supplier1802 ENNIS JOSLIN, Corpus Christi, TX 78412$158,456
Revenue and Support

Revenue Composition

Contributions and Grants
$9,030,765
Program Service Revenue
$21,066,443
Investment Income
$3,210
Other Revenue
$296,911
All Other Contributions
$666,336
Change in Net Assets
$1,249,692

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$109,086Fair Market Value (FMV)
Real Estate Commercial1$79,235Fair Market Value (FMV)
Total Noncash Contributions11$188,321-

Audited Revenue Reconciliation

Revenue per Audited Statements
$30,207,241
Revenue Not Reported on Financial Statements
$190,088
Revenue Not Reported on Form 990
$181,609
Other Revenue Adjustments
$190,088
Total Revenue per Audited Statements
$30,388,850
Total Revenue per Form 990
$30,397,329
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$22,817,152
Other Expenses$6,325,637
Grants and Similar Amounts Paid$4,848
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$15,575,464$2,533,934-$18,109,398
Other Employee Benefits$1,697,175$303,225-$2,000,400
Payroll Taxes$979,551$200,631-$1,180,182
Office Expenses$788,670$355,662-$1,144,332
Current Officers, Directors, Trustees, and Key Employees$151,512$782,632-$934,144
Occupancy$594,663$121,798-$716,461
Pension Plan Contributions$521,208$71,820-$593,028
Depreciation Depletion$524,006$57,110-$581,116
Information Technology$358,790$205,700-$564,490
Fees for Services Other$383,662$130,826-$514,488
Advertising-$324,273-$324,273
Insurance$179,427$33,272-$212,699
Travel$132,368$50,262-$182,630
Conferences and Meetings$64,120$79,399-$143,519
Fees for Services Accounting-$129,951-$129,951
Other Expenses$76,384$34,961-$76,384
All Other Expenses$30,616$15,234-$45,850
Fees for Services Legal-$32,867-$32,867
Grants to Domestic Individuals$4,848--$4,848
Total Functional Expenses$23,674,702$5,472,935$0$29,147,637

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$29,239,227
Total Expenses per Form 990$29,147,637
Expenses per Audited Statements$29,071,253
Expenses Not Reported on Form 990$167,974
Expenses Not Reported on Financial Statements$76,384
Other Expense Adjustments$76,384
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 when 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
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
2023-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Allen Patterson
Formed
1992
Legal Domicile
TX
Voting Board Members
15
Independent Board Members
15
Employees
369
Volunteers
21

Preparer

Firm
Forvis 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 of 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 hospital 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 XII, Line 4B

Reconciliation of expenses per audited financials with return: bad debt $76,384

Schedule D, Part XI, Line 4B

Reconciliation of revenues per audited financials with return: additional contributions w/ restrictions $152,861 additional grants for pp&e 37,227 ---------------------------------------------------------- total $190,088

Schedule D, Part XI, Line 2D

Reconciliation of revenues per audited financials with return: bad debt ($76,384) net assets released from restrictions 90,019 ---------------------------------------------------------- total $13,635

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.

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Document Assets

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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
2022Detailed filing. Detailed filing data is available for this year.$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