2023-05-10T09:37:10-05:00 2022-12-31 731225615 SMITH CARNEY & CO PC 5 S COMMERCE STE 33 ARDMORE OK 73401 990 2022-01-01 731148215 CROSS TIMBERS HOSPICE INC CROS 5802230655 207 C STREET NW ARDMORE OK 73401 MARK DODGE EXECUTIVE DIRECTOR 5802230655 2023-05-08 1 MARK DODGE 999009999 0 REBECCA A HEMBREE CPA P00447357 5802261227 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARK DODGE 207 C STREET NW ARDMORE OK 73401 8116627 0 X WWW.CROSSTIMBERSHOSPICE.ORG X 1981 OK TO PROVIDE HOSPICE CARE AS AN ALTERNATIVE TO TRADITIONAL CARE FOR TERMINALLY ILL. 8 8 62 43 0 0 1114793 2411415 4179569 4088385 3704992 827911 1202 13319 9000556 7341030 482490 541488 0 0 5110596 4815176 0 0 0 810865 932570 6403951 6289234 2596605 1051796 47773267 50336358 293155 127631 47480112 50208727 TO PROVIDE THE HOSPICE CONCEPT AS AN ALTERNATIVE TO TRADITIONAL CARE FOR TERMINALLY ILL. TO PROVIDE FAMILIES AND PATIENTS PSYCHOLOGICAL AND EMOTIONAL SUPPORT AND QUALITY PHYSICAL CARE WITH EMPHASIS ON PAIN MANAGEMENT. 0 0 4402079 541488 4088385 TO PROVIDE THE HOSPICE CONCEPT AS AN ALTERNATIVE TO TRADITIONAL CARE FOR TERMINALLY ILL. TO PROVIDE FAMILIES AND PATIENTS PSYCHOLOGICAL AND EMOTIONAL SUPPORT AND QUALITY PHYSICAL CARE WITH EMPHASIS ON PAIN MANAGEMENT. 4402079 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 27 0 1 62 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OK X CROSS TIMBERS HOSPICE INC 5802230655 207 C STREET NW ARDMORE OK 73401 BARBARA HISEY PRESIDENT 1.00 X X 0 0 0 STEVE MARTIN MEMBER 1.00 X 0 0 0 LINDA ROBERTS MEMBER 1.00 X 0 0 0 BETH MARSHALL MEMBER 1.00 X 0 0 0 TRACIE MORDY VICE PRESIDENT 1.00 X X 0 0 0 TREY RATELIFF SECRETARY/TREASURER 1.00 X X 0 0 0 LORI POWELL MEMBER 1.00 X 0 0 0 JACOB TYNES MEMBER 1.00 X 0 0 0 MARK DODGE EXECUTIVE DIRECTOR 40.00 X 145519 0 0 LAUREN SOUTHWARD MEDICAL DIRECTOR 40.00 X 241095 0 0 JOE R HAMILL MEDICAL DIRECTOR 40.00 X 269922 0 0 JENNY FLOWERS EMPLOYEE 40.00 X 113514 0 0 770050 0 0 4 0 1 0 0 2411415 2411415 MEDICARE/MEDICAID PAYM 621610 4088385 4088385 4088385 838508 838508 13319 13319 765000 775597 -10597 -10597 -10597 7341030 4088385 0 841230 541488 541488 770050 624531 145519 2910639 2652885 257754 259111 259111 588901 588901 286475 255088 31387 2097 2097 16915 16915 8527 8527 81566 81566 67383 737 66646 97762 58079 39683 235895 239259 -3364 69008 69008 123091 123091 CONSULTING FEES 86994 86994 MAINTENANCE & REPAIR 42756 42756 BENEFIT ADMINISTRATION 33785 33785 DUES AND LICENSES 24185 3572 20613 42606 26440 16166 6289234 4402079 1887155 0 1695941 2075636 343401 383440 1143911 736088 34598 39191 3109913 1807460 1194590 1302453 43360576 45799300 250 250 47773267 50336358 293155 127631 293155 127631 X 29103916 25656177 18376196 24552550 47480112 50208727 47773267 50336358 X 1051796 -4493035 6169854 X X 0 1 X 1 0 X 1193710 914648 1287065 1114793 2411415 6921631 4506509 4777123 4725237 4179569 4088385 22276823 5700219 5691771 6012302 5294362 6499800 29198454 1088632 827137 499491 1009871 2295473 5720604 0 1088632 827137 499491 1009871 2295473 5720604 23477850 927370 1223948 1220403 1677563 851827 5901111 927370 1223948 1220403 1677563 851827 5901111 6627589 6915719 7232705 6971925 7351627 35099565 0.66890 0.67400 0.16810 0.17360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2302996 1026729 1276267 772717 748451 24266 34200 32280 1920 1302453 9045231 -4493035 27382 6169854 1704201 7341030 0 7341030 6316616 27382 27382 6289234 0 6289234 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST VALUATION 6,169,854. 1 PATIENT CARE - DIRECT MEDICAL EXPENSE, HOSPITAL, MEDICAL SUPPLIES, OTHER PATIENT CARE, PHARMACY 392 541488 BOOK X 0 0 0 0 0 0 0 0 0 JOE R HAMILL MEDICAL DIRECTOR 269922 0 0 0 0 0 0 0 0 0 269922 0 0 0 LAUREN SOUTHWARD MEDICAL DIRECTOR 241095 0 0 0 0 0 0 0 0 0 241095 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM IS PROVIDED TO THE GOVERNING BODY FOR REVIEW UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C WHEN ISSUES ARISE THAT WOULD BE IN NON-COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY, THEY ARE TO BE REPORTED TO THE BOARD AT THE MONTHLY OR ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS IS SIMILAR TO OTHER ORGANIZATIONS PROVIDING THE SAME SERVICES. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST VALUATION 6,169,854. FORM 990, PART XII, LINE 2 C THE BOARD HAS NOT CHANGED THEIR OVERSIGHT AND SELECTION PROCESS FOR THE ANNUAL AUDIT.