Friday, June 20, 2025 6/20/2025

Health Center Program

Award Number: H8000124
ORGANIZATION: BUREAU OF PRIMARY HEALTH CARE
OPDIV: HRSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 12/01/2001
PERIOD OF PERFORMANCE END DATE: 03/31/2028

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Health Center Program - Health Center Program award number: H80CS00124 The proposed service area identification number, city, and state: 211, De Leon, TX The total number of unduplicated patients served in the calendar year 2026: 12,075 Cross Timbers Health Clinics, Inc., which is doing business as (dba) AccelHealth, is an FQHC serving rural and frontier areas in West Central Texas. The Center began providing health services to the west central Texas community in 1967 and gained FQHC status in 1986. AccelHealth (ACH) primarily serves residents of Brown (pop. 38,159), Comanche (pop. 13,651), and Erath (pop. 42,788) in addition small portions of neighboring counties. The Center operates three (3) primary care health centers in Brownwood (Brown), De Leon (Comanche), and Stephenville (Erath), offering family medicine, women’s health, dental, and behavioral health care services. ACH’s mission is to provide exceptional health care to the communities’ healing, with medical, dental, and behavioral health access. With a focus on quality care, AccelHealth is a Federal Tort Claims Act (FTCA) deemed Federally Qualified Health Center (FQHC), accredited through The Joint Commission, and received the Gold Seal of Approval four times, as an Accountable Care Organization. ACH has received several Community Health Center Quality Recognition Badges: Access Enhancer, Health Disparities Reducer, and Patient-Centered Medical Home. AccelHealth’s service area is home to 62,426 residents who experience low income. The health center program penetration of low-income is 18.2%, indicating that more than 81% of low-income residents (over 51,000 individuals) are not served by a health center. ACH is the only health center in the service area. The landscape of insurance coverage for the Center’s service areas reveals uninsured rates approximately double the national average. All three (3) counties in the Center’s service area experience a significant shortage of health care providers relative to the population for primary care physicians, dentists, and mental health providers. Residents who identify as Hispanic represent the primary minority in Comanche (29.2%) and Erath (21.8%) counties, both significantly higher than 18.7% for the U.S. Residents who identify as Black represent the primary minority in Brown County (3.3%), indicating the need for culturally meaningful healthcare. Comanche County has the highest teen birth rate in the service area at 36 per 1,000 females aged 15-19, significantly exceeding both the Texas and national averages. The infant mortality rate in Brown County (7 per 1,000 live births) is concerning as it surpasses the national average. More than one-third of ACH’s service area suffers from hypertension and obesity, both of which are higher compared to the state and U.S. The rate of diabetes within the service area (11.9%) is also higher than the U.S. rate (11.0%). Brown County's overall cancer rates surpass both Texas and the U.S. Unfortunately, residents of Brown and Comanche experience higher suicide rates than neighboring Erath County, Texas, and the U.S. ACH is currently the only medical health provider in De Leon delivering access to a wide array of primary health care services including medical, dental, and behavioral health care for the entire family. The Stephenville location offers primary health care services, including medical, dental, and behavioral health care. The Brownwood location delivers medical, behavioral health, and substance use services. Collectively the three locations provide 368.5 hours of comprehensive health care services and served 12,075 unique patients in 2023, based on UDS data.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $1,864,919 )
2025	2025	CROSS TIMBERS HEALTH CLINICS INC	1100 W REYNOSA AVE	DE LEON	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	00	24	3/6/2025	COMPETING CONTINUATION	$1,864,919
														Subtotal = $1,864,919

Issue Date FY: 2024 ( Subtotal = $3,765,876 )
2024	2024	CROSS TIMBERS HEALTH CLINICS INC	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	00	23	1/24/2024	NON-COMPETING CONTINUATION	$1,554,099
2024	2024	CROSS TIMBERS HEALTH CLINICS INC	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	02	23	4/29/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$1,864,919
2024	2024	CROSS TIMBERS HEALTH CLINICS INC	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	01	23	2/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$310,820
2024	2024	CROSS TIMBERS HEALTH CLINICS INC	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	03	23	5/31/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$36,038
2024	2023	CROSS TIMBERS HEALTH CLINICS INC	1100 W REYNOSA AVE	DE LEON	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	05	22	12/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $3,765,876

Issue Date FY: 2023 ( Subtotal = $3,578,308 )
2023	2023	CROSS TIMBERS HEALTH CLINICS, INC.	1100 W REYNOSA AVE	DE LEON	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	01	22	6/8/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	CROSS TIMBERS HEALTH CLINICS, INC.	1100 W REYNOSA AVE	DE LEON	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	04	22	6/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	CROSS TIMBERS HEALTH CLINICS, INC.	1100 W REYNOSA AVE	DE LEON	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	02	22	6/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	CROSS TIMBERS HEALTH CLINICS, INC.	1100 W REYNOSA AVE	DE LEON	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	03	22	6/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	CROSS TIMBERS HEALTH CLINICS, INC.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	00	22	2/9/2023	NON-COMPETING CONTINUATION	$3,729,838
2023	2022	CROSS TIMBERS HEALTH CLINICS, INC.	1100 W REYNOSA AVE	DE LEON	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	02	21	12/13/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	CROSS TIMBERS HEALTH CLINICS, INC.	1100 W REYNOSA AVE	DE LEON	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	03	21	3/23/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	CROSS TIMBERS HEALTH CLINICS, INC.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	01	20	4/12/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$151,530
														Subtotal = $3,578,308

Issue Date FY: 2022 ( Subtotal = $3,729,838 )
2022	2022	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	01	21	5/18/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$932,459
2022	2022	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	00	21	2/16/2022	COMPETING CONTINUATION	$2,797,379
														Subtotal = $3,729,838

Issue Date FY: 2021 ( Subtotal = $3,729,838 )
2021	2021	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	00	20	3/1/2021	NON-COMPETING CONTINUATION	$3,729,838
														Subtotal = $3,729,838

Issue Date FY: 2020 ( Subtotal = $3,763,759 )
2020	2020	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	01	19	5/28/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$921,001
2020	2020	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	00	19	2/26/2020	NON-COMPETING CONTINUATION	$2,763,004
2020	2020	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	03	19	8/21/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$79,754
2020	2020	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	02	19	7/8/2020	EXTENSION WITH OR WITHOUT FUNDS	$0
2020	2020	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	04	19	9/2/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	13	18	12/10/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	12	18	12/4/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	11	18	11/12/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	10	18	10/9/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $3,763,759

Issue Date FY: 2019 ( Subtotal = $3,799,633 )
2019	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	04	18	7/18/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	00	18	2/25/2019	NON-COMPETING CONTINUATION	$3,619,838
2019	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	03	18	7/17/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	09	18	9/20/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	07	18	8/8/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	01	18	6/13/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	02	18	7/12/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$110,000
2019	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	06	18	7/30/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	05	18	7/30/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	08	18	8/18/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$69,795
2019	2017	Cross Timbers Health Clinics, Inc.	1100 W Reynosa Ave	De Leon	TX	76444	COMANCHE	USA	Grants for New and Expanded Services under the Health Center Program	06	17	1/18/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $3,799,633

Grand Total All Awards = $24,232,171

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Health Center Program

Award Number: H8000124

ORGANIZATION: BUREAU OF PRIMARY HEALTH CARE

OPDIV: HRSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 12/01/2001

PERIOD OF PERFORMANCE END DATE: 03/31/2028

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