BETHESDA HEALTH CLINIC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BETHESDA HEALTH CLINIC (EIN 26-0036674)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-02-09
- IRS object ID
- 202320409349300837
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-02-09T13:45:02-06:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 752147296 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOLLOB MORGAN PEDDY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 ESE LOOP 323 STE 300 | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260036674 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETHESDA HEALTH CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BETH | BusinessNameControlTxt |
| Phone | 9035968353 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 W FERGUSON STREET | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75702 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR JOHN ENGLISH | PersonNm |
| Person Title | EXECUTIVE DIR. | PersonTitleTxt |
| Phone | 9035968353 | PhoneNum |
| Signature | 2023-02-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DR | PersonFirstNm |
| Person Last | JOHN ENGLISH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEVIN CASHION | PreparerPersonNm |
| PTIN | P00246409 | PTIN |
| Phone | 9035340088 | PhoneNum |
| Preparation | 2023-02-05 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR JOHN ENGLISH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 W FERGUSON STREET | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,791,539 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BETHESDACLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | BETHESDA HEALTH CLINIC IS A CHRIST-CENTERED CLINIC DEVOTED TO PROVIDING AFFORDABLE HEALTH AND DENTAL CARE TO HARDWORKING LOW-INCOME ADULTS WHO ARE UNINSURED OR UNDERINSURED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 237 | TotalEmployeeCnt |
| Total Volunteers | 369 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,661,853 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,061,280 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $967,603 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,167,019 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$28,725 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,638 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$179,918 | PYOtherRevenueAmt |
| CY Other Revenue | -$190,541 | CYOtherRevenueAmt |
| PY Total Revenue | $8,420,813 | PYTotalRevenueAmt |
| CY Total Revenue | $10,041,396 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,169,380 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,774,807 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,378,117 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,397,088 | PYOtherExpensesAmt |
| CY Other Expenses | $5,774,745 | CYOtherExpensesAmt |
| PY Total Expenses | $8,566,468 | PYTotalExpensesAmt |
| CY Total Expenses | $9,549,552 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$145,655 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $491,844 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,698,830 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,707,586 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,325,559 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,195,603 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,373,271 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,511,983 | NetAssetsOrFundBalancesEOYAmt |
| Mission | BETHESDA HEALTH CLINIC IS A CHRIST-CENTERED CLINIC DEVOTED TO PROVIDING AFFORDABLE HEALTH AND DENTAL CARE TO HARDWORKING LOW-INCOME ADULTS WHO ARE UNINSURED OR UNDERINSURED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,327,165 | ExpenseAmt |
| Revenue | $1,167,019 | RevenueAmt |
| Desc | FROM JULY 1, 2021 TO JUNE 30, 2022 THE MEDICAL CLINIC HAD 14,107 PATIENT VISITS. THE DENTAL CLINIC HAD 5,805 PATIENT VISITS. APPROXIMATELY 369 VOLUNTEERS FOR OVER 11,523 HOURS. WE ARE VERY PROUD THAT EVEN DURING COVID WE HAD HIGHER OUTCOMES WITH DIABETES, HIGH BLOOD PRESSURE AND DEPRESSION COMPARED TO NATIONAL AVERAGES. | Desc |
| Total Program Service Expenses | $7,327,165 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 237 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MELISSA BRISCOE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9035968353 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 W FERGUSON STREET | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75702 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DIANE THOMASON | |||||||
| CHIEF DEVELOPMENT OFFICER | 40.00 | Yes (X) | Yes (X) | $71,577 | $0 | $0 | |
| DR JOHN ENGLISH | |||||||
| CHIEF EXECUTIVE OFFIER | 40.00 | Yes (X) | Yes (X) | $179,146 | $0 | $0 | |
| MELISSA BRISCOE | |||||||
| CFO | 40.00 | Yes (X) | Yes (X) | $83,083 | $0 | $0 | |
| AARON FLEET | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| AMBER OWEN | |||||||
| SECRETARY/DEVEOPMENT CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BECKY WESTERN | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID KRAFVE | |||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOSH ROBERTS | |||||||
| TREASURER/FINANCE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LAURIE LEHNHOF-WATTS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE BROOKSHIRE | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE CARR | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDALL CHILDRESS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SHANE BUTLER | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SHANNON DACUS | |||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHELLY WELCH | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER BAILEY | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| WADE BARKER DDS MD | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LEE R GIBSON | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KATY KUMMERFELD | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KAY LATTA | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SANDRA OWENS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CARRIE TUTT MD | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| TAYLOR HOLLAND | |||||||
| EMPLOYEE | 40.00 | $132,031 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $465,837 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $2,783 | MembershipDuesAmt |
| Fundraising | $676,398 | FundraisingAmt |
| All Other Contributions | $8,382,099 | AllOtherContributionsAmt |
| Noncash Contributions | $6,062,079 | NoncashContributionsAmt |
| Total Contributions | $9,061,280 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $1,167,019 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,167,019 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,167,019 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,638 | TotalRevenueColumnAmt |
| Exclusion | $3,638 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $676,398 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $72,388 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$72,388 | TotalRevenueColumnAmt |
| Exclusion | -$72,388 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $3,528,788 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $3,677,755 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$148,967 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$148,967 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $30,814 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,814 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $30,814 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,041,396 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,048,866 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$68,750 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,327 | TotalAmt |
| Program Services | $215,596 | ProgramServicesAmt |
| Management And General | $53,899 | ManagementAndGeneralAmt |
| Fundraising | $89,832 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,878,014 | TotalAmt |
| Program Services | $1,726,809 | ProgramServicesAmt |
| Management And General | $431,702 | ManagementAndGeneralAmt |
| Fundraising | $719,503 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,565 | TotalAmt |
| Program Services | $153,501 | ProgramServicesAmt |
| Management And General | $59,105 | ManagementAndGeneralAmt |
| Fundraising | $63,959 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,901 | TotalAmt |
| Program Services | $156,541 | ProgramServicesAmt |
| Management And General | $39,135 | ManagementAndGeneralAmt |
| Fundraising | $65,225 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,203 | TotalAmt |
| Program Services | $205,203 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,982 | TotalAmt |
| Management And General | $28,982 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,589 | TotalAmt |
| Program Services | $179,597 | ProgramServicesAmt |
| Management And General | $18,508 | ManagementAndGeneralAmt |
| Fundraising | $36,484 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,445 | TotalAmt |
| Program Services | $17,378 | ProgramServicesAmt |
| Management And General | $8,689 | ManagementAndGeneralAmt |
| Fundraising | $17,378 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,749 | TotalAmt |
| Program Services | $48,068 | ProgramServicesAmt |
| Management And General | $5,457 | ManagementAndGeneralAmt |
| Fundraising | $8,224 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,189 | TotalAmt |
| Program Services | $72,410 | ProgramServicesAmt |
| Management And General | $8,518 | ManagementAndGeneralAmt |
| Fundraising | $4,261 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $575,284 | TotalAmt |
| Program Services | $280,554 | ProgramServicesAmt |
| Management And General | $62,344 | ManagementAndGeneralAmt |
| Fundraising | $232,386 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,556 | TotalAmt |
| Fundraising | $7,556 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,883 | TotalAmt |
| Program Services | $7,885 | ProgramServicesAmt |
| Management And General | $1,089 | ManagementAndGeneralAmt |
| Fundraising | $1,909 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,063 | TotalAmt |
| Fundraising | $40,063 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,488 | TotalAmt |
| Program Services | $151,727 | ProgramServicesAmt |
| Management And General | $17,785 | ManagementAndGeneralAmt |
| Fundraising | $1,976 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,136 | TotalAmt |
| Program Services | $67,953 | ProgramServicesAmt |
| Management And General | $3,718 | ManagementAndGeneralAmt |
| Fundraising | $465 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL PROFESSIONAL SE | $2,100,303 | $2,100,303 |
| MEDICAL SUPPLIES | $1,518,088 | $1,518,088 |
| LABORATORY | $181,145 | $181,145 |
| DENTAL SUPPLIES | $105,907 | $105,907 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,735 | TotalAmt |
| Program Services | $138,500 | ProgramServicesAmt |
| Management And General | $105,339 | ManagementAndGeneralAmt |
| Fundraising | $88,896 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,549,552 | TotalAmt |
| Program Services | $7,327,165 | ProgramServicesAmt |
| Management And General | $844,270 | ManagementAndGeneralAmt |
| Fundraising | $1,378,117 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $773,593 | BOYAmt |
| EOY | $538,428 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $599,820 | BOYAmt |
| EOY | $788,744 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,323 | BOYAmt |
| EOY | $53,458 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,009,722 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,812,428 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,288,975 | BOYAmt |
| EOY | $3,197,294 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $991,033 | BOYAmt |
| EOY | $3,422,038 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,012,086 | BOYAmt |
| EOY | $2,707,624 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,698,830 | BOYAmt |
| EOY | $10,707,586 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,502 | BOYAmt |
| EOY | $196,467 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68 | BOYAmt |
| EOY | $92,566 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,084,989 | BOYAmt |
| EOY | $906,570 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,325,559 | BOYAmt |
| EOY | $1,195,603 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,235,729 | BOYAmt |
| EOY | $7,257,191 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,137,542 | BOYAmt |
| EOY | $2,254,792 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,373,271 | BOYAmt |
| EOY | $9,511,983 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,698,830 | BOYAmt |
| EOY | $10,707,586 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $491,844 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$674,234 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $2,321,102 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,736,226 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,037,099 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,875,788 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,661,853 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,384,882 | CurrentTaxYearAmt |
| Total | $31,695,848 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $655,393 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $667,762 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,170,303 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $967,603 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,167,019 | CurrentTaxYearAmt |
| Total | $4,628,080 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,276,446 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,929,559 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,181,085 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,884,706 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,528,788 | CurrentTaxYearAmt |
| Total | $12,800,584 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,668,065 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,634,420 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,227,176 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,514,162 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,080,689 | CurrentTaxYearAmt |
| Total | $49,124,512 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $529,895 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,595,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,412,169 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,542,433 | CurrentTaxYearAmt |
| Total | $5,080,212 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $529,895 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,595,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,412,169 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,542,433 | CurrentTaxYearAmt |
| Total | $5,080,212 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $44,044,300 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,906 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $713 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,208 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,775 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,638 | CurrentTaxYearAmt |
| Total | $28,240 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,906 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $713 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,208 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,775 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,638 | CurrentTaxYearAmt |
| Total | $28,240 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,552 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,020 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,346 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $909 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,054 | CurrentTaxYearAmt |
| Total | $45,881 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,684,523 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,638,153 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,236,730 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,530,846 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,108,381 | CurrentTaxYearAmt |
| Total | $49,198,633 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.89520 | PublicSupportCY509Pct |
| Public Support PY509 | 0.88660 | PublicSupportPY509Pct |
| Investment Income CY | 0.00060 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00070 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 12,552. 2018 AMOUNT: $ 3,020. 2019 AMOUNT: $ 5,346. 2020 AMOUNT: $ 909. 2021 AMOUNT: $ 24,054. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $535,444 | OtherCostOrOtherBasisAmt |
| Book Value | $535,444 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,839,689 | OtherCostOrOtherBasisAmt |
| Depreciation | $278,965 | DepreciationAmt |
| Book Value | $1,560,724 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,436,398 | OtherCostOrOtherBasisAmt |
| Depreciation | $580,736 | DepreciationAmt |
| Book Value | $855,662 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $648,737 | OtherCostOrOtherBasisAmt |
| Depreciation | $541,930 | DepreciationAmt |
| Book Value | $106,807 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $549,454 | OtherCostOrOtherBasisAmt |
| Depreciation | $410,797 | DepreciationAmt |
| Book Value | $138,657 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,197,294 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN NET ASSETS OF BETHESDA FOUND | $1,766,654 |
| CIP - BUILDING EXPANSION | $917,000 |
| CAPITAL EXPANSION PROJECT | $23,970 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,707,624 | TotalBookValueOtherAssetsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BIRTHDAY BASH | Event1Nm |
| Gross Receipts Event1 | $283,504 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $283,504 | CharitableContriEvent1Amt |
| Rent Facility Costs Event1 | $19,790 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $25,710 | OtherDirectExpensesEvent1Amt |
| Event2 | DR. LUKE DINNER | Event2Nm |
| Gross Receipts Event2 | $216,372 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $216,372 | CharitableContriEvent2Amt |
| Rent Facility Costs Event2 | $10,324 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $3,974 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $176,522 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $176,522 | CharitableContriOtherEventsAmt |
| Oth Direct Expnss Other Events | $12,590 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $676,398 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $676,398 | CharitableContributionsTotAmt |
| Rent Fclty Costs Total Events | $30,114 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $42,274 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $72,388 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$72,388 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR JOHN ENGLISH | ||||||||||||||
| CHIEF EXECUTIVE OFFIER | $179,146 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $179,146 | $0 | $0 | $0 |
| MELISSA BRISCOE | ||||||||||||||
| CFO | $83,083 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $83,083 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|
| KRYSTI MCWHA | ||
| FORMER OFFICER/EMPLOYEE | DURING 2022 AND 2021 TWO EMPLOYEES PROVIDED CONSULTING SERVICES RELATED TO THE CLINIC'S POINT OF SALE SYSTEM AT ITS THRIFT STORES THROUGH A COMPANY THEY OWNED. BOTH EMPLOYEES LEFT EMPLOYMENT OF THE CLINIC DURING 2022. NO DIRECT PAYMENTS WERE MADE TO THE EMPLOYEES OR THEIR COMPANY RELATED TO THESE SERVICES DURING 2022. | 0 |
| JUDY WEST | ||
| FORMER EMPLOYEE | DURING 2022 AND 2021 TWO EMPLOYEES PROVIDED CONSULTING SERVICES RELATED TO THE CLINIC'S POINT OF SALE SYSTEM AT ITS THRIFT STORES THROUGH A COMPANY THEY OWNED. BOTH EMPLOYEES LEFT EMPLOYMENT OF THE CLINIC DURING 2022. NO DIRECT PAYMENTS WERE MADE TO THE EMPLOYEES OR THEIR COMPANY RELATED TO THESE SERVICES DURING 2022. | 0 |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $3,717,712 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,146,999 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | LINE 11B EXPLANATION - A DRAFT OF THE RETURN WILL BE PRESENTED AT A FINANCE COMMITTEE MEETING FOR THEIR REVIEW. A COPY OF THE DRAFT WILL ALSO BE MADE AVAILABLE TO ALL BOARD MEMBERS FOR THEIR REVIEW. ONCE APPROVED BY THE BOARD, THE RETURN WILL BE FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THEIR CONFLICT OF INTEREST POLICY BY REVIEWING THE POLICY AT BOARD MEETINGS. ANY POTENTIAL CONFLICTS ARE DISCUSSED AND HANDLED AS THEY ARISE. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE EXECUTIVE DIRECTOR AND OTHER MEMBERS OF MANAGEMENT IS DETERMINED BASED ON AN ANNUAL EVALUATION PROCESS UNDERTAKEN BY THE BOARD OF DIRECTORS. THE PROCESS INCLUDES AN EVALUATION OF THE PERFORMANCE IN KEY AREAS AS COMPARED TO THE EXPECTED PERFORMANCE FOR THE POSITION AND ATTAINMENT OF ESTABLISHED GOALS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DISCLOSURE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BETHESDA HEALTH CLINIC FOUNDATION | |||||||||
| PO BOX 1999 | TYLER | TX | 75710 | 202755891 | TO PROVIDE FINANCIAL MGMT SERVICES FOR THE BETHESDA CLINIC. | TX | 501(C)(3) | 509(A)(3) I | Yes (1) |
| BETHESDA PHYSICIAN ASSOCIATES | |||||||||
| PO BOX 199 | TYLER | TX | 75710 | 463482286 | PERFORM MEDICAL SERVICES & PROCEDURES | TX | 501(C)(3) | 509(A)(3)I | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETHESDA PHYSICIAN ASSOCIATES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | M | TransactionTypeTxt |
| Involved | $205,203 | InvolvedAmt |
| Method Of Amount Determination | CASH VALUE | MethodOfAmountDeterminationTxt |
Comments