2024-11-01T09:24:34-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-01-01 432016287 MT ENTERPRISE COMMUNITY HEALTH CLINIC MTEN 9033928203 507 S MARSHALL STREET HENDERSON TX 75654 BECKY ELDRIDGE EXECUTIVE DIRECTOR 9033928203 2024-10-22 1 0 KURT BENNION CPA P01469618 4252506100 2024-10-21 2023 2024-10-15 13:58:12Z CROSSROADS FAMILY CARE BECKY ELDRIDGE 507 S MARSHALL STREET HENDERSON TX 75654 5716905 0 X HTTPS://CROSSROADSFAMILYCARE.COM X 2003 TX TO PROVIDE PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY. 12 12 100 12 0 0 3617486 2628548 2945940 2858484 870 16524 44890 213349 6609186 5716905 0 450 0 0 4131519 4781937 0 0 0 1505597 1926935 5637116 6709322 972070 -992417 4735783 3651094 592889 577243 4142894 3073851 TO PROVIDE PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY. 0 0 3977627 450 2858484 AT THREE LOCATIONS (MT. ENTERPRISE, HENDERSON AND PALESTINE, TEXAS), MT. ENTERPRISE COMMUNITY HEALTH CLINIC (DBA: CROSSROADS FAMILY CARE) PROVIDES PRIMARY CARE, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO ALL MEMBERS OF THE COMMUNITY, WITH AN EMPHASIS ON ENSURING MEDICAL CARE FOR THE LOW-INCOME AND UNINSURED POPULATION. IN 2023, THE HEALTH CENTER PROVIDED OVER 23,800 VISITS TO OVER 7,700 PATIENTS SERVED. 31% OF THESE PATIENTS DID NOT HAVE INSURANCE AT THE TIME OF THEIR VISIT AND 26% WERE BELOW 100% OF THE FEDERAL POVERTLY LEVEL. 3977627 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 100 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X DAVID RODRIGUES 9033928203 507 S MARSHALL STREET HENDERSON TX 75654 JONATHAN URY DENTAL DIRECTOR 40.00 X 180198 0 26705 WILLIAM ROBERSON DO CHIEF MEDICAL OFFICER 40.00 X 154774 0 15559 MARK DILLINGHAM PHYSICIANS ASSOCIATE 40.00 X 144834 0 14050 AMBERLY HOPSON APRN FNP-C NURSE PRACTITIONER 40.00 X 137179 0 17117 LIZBETH FITZGERALD NURSE PRACTITIONER 40.00 X 132086 0 15934 AMPARO MAHLER CEO (THROUGH SEPTEMBER 2023) 40.00 X 130607 0 13704 MELISSA IRIZARRY CFO (AS OF SEPTEMBER 2023) 40.00 X 93010 0 10130 RD WITTNER PRESIDENT & BOARD MEMBER 1.00 X X 0 0 0 CASSANDRA SHAW BOARD MEMBER & PRESIDENT 1.00 X X 0 0 0 MICHAEL LOOSIER VICE PRESIDENT 1.00 X X 0 0 0 YOLANDA DELEON SECRETARY 1.00 X X 0 0 0 MICHELLE SIMMONS TREASURER 1.00 X X 0 0 0 PATSY FOGLEMAN BOARD MEMBER 1.00 X 0 0 0 LEO GONZALEZ BOARD MEMBER 1.00 X 0 0 0 HARVEY GRAVES BOARD MEMBER 1.00 X 0 0 0 JOHN GRUBBS BOARD MEMBER 1.00 X 0 0 0 ROBERT HOLLENSHEAD BOARD MEMBER 1.00 X 0 0 0 J GUADALUPE OVIEDO BOARD MEMBER 1.00 X 0 0 0 JEAN WILLIAMS BOARD MEMBER 1.00 X 0 0 0 972688 0 113199 9 0 1 0 0 2588048 40500 2628548 MEDICAL SERVICE INCOME 624100 2729745 2729745 PHARMACY REVENUE 456110 128739 128739 2858484 16524 16524 OTHER REVENUE 624110 213349 213349 213349 5716905 2858484 0 229873 X 450 450 247451 247451 3964111 2535475 1428636 56516 39585 16931 190546 133002 57544 323313 196464 126849 1282 1282 32745 32745 859687 591832 267855 76493 76493 154856 30006 124850 213778 185560 28218 291656 153173 138483 55862 2768 53094 24388 10914 13474 1095 1095 115535 66708 48827 32623 32623 MEDICAL SUPPLIES 28206 20341 7865 REPAIRS & MAINTENANCE 14014 2460 11554 OTHER EXPENSES 13386 13386 DUES & SEMINARS 11329 8889 2440 6709322 3977627 2731695 0 2285296 79853 1392601 512819 209195 218792 195509 46956 46956 16955 23829 3213046 1549532 1497004 1663514 157961 39637 4735783 3651094 421494 387494 88017 164680 83378 25069 592889 577243 X 4142894 3073851 4142894 3073851 4735783 3651094 -992417 -76626 0 X 0 0 0 X 2406136 3028764 4195628 3617486 2628548 15876562 2406136 3028764 4195628 3617486 2628548 15876562 15876562 49 152 789 870 16524 18384 62963 24216 23115 44890 213349 368533 16263479 13111591 0.97620 0.98580 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 63984 63984 800160 154282 645878 1350914 778451 572463 750003 604225 145778 247985 12574 235411 1663514 RIGHT-OF-USE LEASE LIABILITIES 25069 25069 X X 0 0 0 0 0 0 0 1 0 JONATHAN URY DENTAL DIRECTOR 180198 0 0 0 0 0 6431 0 20274 0 206903 0 0 0 WILLIAM ROBERSON DO CHIEF MEDICAL OFFICER 154774 0 0 0 0 0 0 0 15559 0 170333 0 0 0 MARK DILLINGHAM PHYSICIANS ASSOCIATE 144834 0 0 0 0 0 5200 0 8850 0 158884 0 0 0 AMBERLY HOPSON APRN FNP-C NURSE PRACTITIONER 137179 0 0 0 0 0 0 0 17117 0 154296 0 0 0 PART I, LINE 7 IN 2023, ALL EMPLOYEES RECEIVED A HOLIDAY BONUS. AMOUNTS WERE BASED ON TENURE. AMOUNTS WERE DETERMINED BY THE CEO AND THE BOARD. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD AND THE CEO. THE EXECUTIVE COMMITTEE SERVES IN PLACE OF THE FULL BOARD IN EMERGENCY SITUATIONS WHEN A FULL BOARD QUORUM AT AN EMERGENCY MEETING CANNOT BE PRESENT. THE EXECUTIVE COMMITTEE ALSO REVIEWS CERTAIN PROSPECTIVE BUSINESS TRANSACTIONS AND MAKES RECOMMENDATIONS ON SUCH MATTERS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 3 THROUGH MARCH 2023, MEDICAL MANAGEMENT SERVICES (THE CMO POSITION) WERE PROVIDED BY MEDCON. FROM MARCH TO MAY 2023, MEDICAL MANAGEMENT SERVICES WERE PROVIDED BY DR. WILLIAM ROBERSON. DR. ROBERSON BECAME AN EMPLOYEE OF CROSSROADS FAMILY CARE IN MAY 2023. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE FINANCE DIRECTOR, THE EXECUTIVE DIRECTOR, AND THE FINANCE COMMITTEE AND WAS SUBMITTED TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE COMPLETED EVERY YEAR BY BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES. FORMS RECEIVED ARE REVIEWED BY THE CFO AND FINANCE COMMITTEE AND MONITORED AS NECESSARY. NO BOARD MEMBER MAY VOTE ON ANY MATTER IN WHICH THEY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE CEO IS DISCUSSED AT LENGTH BY THE BOARD OF DIRECTORS YEARLY. AS PART OF THEIR ANNUAL EVALUATION/REVIEW OF THE CEO, THEY REVIEW WHETHER ESTABLISHED GOALS WERE MET AND REVIEW COMPENSATION IN COMPARISON WITH OTHER COMMUNITY HEALTH ORGANIZATION CEO'S WITH THE HELP OF AN ANNUAL SALARY COMPARISON REPORT ISSUED BY THE NATIONAL ORGANIZATION OF COMMUNITY HEALTH ORGANIZATIONS. ALL OF THESE DISCUSSIONS ARE DOCUMENTED IN THE ORGANIZATION'S BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER SERVICES: PROGRAM SERVICE EXPENSES 261,318. MANAGEMENT AND GENERAL EXPENSES 118,269. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 379,587. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 330,514. MANAGEMENT AND GENERAL EXPENSES 149,586. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 480,100.