2022-02-09T11:50:04-06:00 2021-06-30 752147296 GOLLOB MORGAN PEDDY PC 1001 ESE LOOP 323 STE 300 TYLER TX 75701 990 2020-07-01 260036674 BETHESDA HEALTH CLINIC BETH 9035968353 409 W FERGUSON STREET TYLER TX 75702 DR JOHN ENGLISH EXECUTIVE DIR. 9035968353 2022-02-06 1 DR JOHN ENGLISH XXX-XX-XXXX KEVIN CASHION P00246409 9035340088 2022-02-06 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z DR JOHN ENGLISH 409 W FERGUSON STREET TYLER TX 75702 11554546 0 X WWW.BETHESDACLINIC.ORG X 2003 TX 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. 22 22 228 350 0 0 5375012 7661853 784318 967603 3819 -28725 -923473 -179918 5239676 8420813 0 0 0 0 2130774 3169380 0 0 410611 3588197 5397088 5718971 8566468 -479295 -145655 7527508 8698830 2628068 1325559 4899440 7373271 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. 0 0 7274267 967603 FROM JULY 1, 2020 TO JUNE 30, 2021 THE MEDICAL CLINIC HAD 12,399 PATIENT VISITS. THE DENTAL CLINIC HAD 5,013 PATIENT VISITS. APPROXIMATELY 350 VOLUNTEERS FOR OVER 9,713 HOURS. WE ARE VERY PROUD THAT EVEN DURING COVID WE HAD HIGHER OUTCOMES WITH DIABETES, HIGH BLOOD PRESSURE AND DEPRESSION COMPARED TO NATIONAL AVERAGES. 7274267 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 1 1 0 0 0 1 4 0 1 228 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MELISSA BRISCOE 9035968353 409 W FERGUSON STREET TYLER TX 75702 DIANE THOMASON DEVELOPMENT OF DIRECTOR 40.00 X X 71305 0 0 DR JOHN ENGLISH EXECUTIVE DIR. 40.00 X X 167201 0 0 MELISSA BRISCOE CFO 40.00 X X 27608 0 0 AARON FLEET DIRECTOR 2.00 X 0 0 0 AMBER OWEN SECRETARY 2.00 X X 0 0 0 BECKY WESTERN DIRECTOR 2.00 X 0 0 0 CHARLES STONE DDS DIRECTOR 2.00 X 0 0 0 DAVID KRAFVE VICE PRESIDENT 2.00 X X 0 0 0 DR TIM SMITH DIRECTOR 2.00 X 0 0 0 DR TODD RAABE DIRECTOR 2.00 X 0 0 0 FRITTER MCNALLY DIRECTOR 2.00 X 0 0 0 H DON SMITH DIRECTOR 2.00 X 0 0 0 JOSH ROBERTS DIRECTOR 2.00 X 0 0 0 LAURIE LEHNHOF-WATTS DIRECTOR 2.00 X 0 0 0 MICHELLE BROOKSHIRE DIRECTOR 2.00 X 0 0 0 MICHELLE CARR DIRECTOR 2.00 X 0 0 0 PAT MALLORY DIRECTOR 2.00 X 0 0 0 RAMSEY STARKS PRESIDENT 2.00 X X 0 0 0 RANDALL CHILDRESS DIRECTOR 2.00 X 0 0 0 SHANE BUTLER DIRECTOR 2.00 X 0 0 0 SHANNON DACUS DIRECTOR 2.00 X 0 0 0 SHELLY WELCH DIRECTOR 2.00 X 0 0 0 STEVE HILLIS MD DIRECTOR 2.00 X 0 0 0 SUSAN SAXENMEYER DIRECTOR 2.00 X 0 0 0 TODD TUTT TREASURER 2.00 X X 0 0 0 KRYSTI MCWHA FORMER CFO 40.00 X 72054 0 0 338168 0 0 1 1 1 0 0 8579 507140 574942 6571192 4632952 7661853 PATIENT FEES 621300 967603 967603 967603 15775 15775 6500 51000 -44500 -44500 -44500 17200 507140 30954 -13754 -13754 2884706 3051779 -167073 -167073 OTHER INCOME 900099 909 909 909 8420813 801439 0 -42479 413256 243276 160818 9162 2304098 1774155 230410 299533 248207 191119 24821 32267 203819 151897 28368 23554 224730 224730 42502 42502 104081 98410 5671 27200 8160 5440 13600 28289 25035 2267 987 56316 47869 5631 2816 613036 456618 150008 6410 8390 6712 839 839 6949 5559 695 695 61100 61100 156562 111159 42272 3131 67210 63726 3097 387 MEDICAL PROFESSIONAL SE 1850129 1850129 MEDICAL SUPPLIES 1550994 1550994 OFFSITE MEDICAL SERVICE 131250 131250 LABORATORY 119552 119552 348798 213917 117651 17230 8566468 7274267 881590 410611 788289 773593 7500 370732 599820 10825 33323 4903792 1614817 3358599 3288975 431171 991033 2560392 3012086 7527508 8698830 217451 240502 68 2410617 1084989 2628068 1325559 X 3833299 6235729 1066141 1137542 4899440 7373271 7527508 8698830 -145655 418616 2200870 0 X 0 1 X 1 0 X 2551777 3736226 5037099 6875788 7661853 25862743 660903 655393 667762 1170303 967603 4121964 562263 1276446 1929559 3181085 2884706 9834059 3774943 5668065 7634420 11227176 11514162 39818766 880490 529895 1595715 1412169 4418269 0 880490 529895 1595715 1412169 4418269 35400497 3006 3906 713 4208 15775 27608 3006 3906 713 4208 15775 27608 46089 46089 13045 12552 3020 5346 909 34872 3837083 5684523 7638153 11236730 11530846 39927335 0.88660 0.87270 0.00070 0.00040 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 13,045. 2017 AMOUNT: $ 12,552. 2018 AMOUNT: $ 3,020. 2019 AMOUNT: $ 5,346. 2020 AMOUNT: $ 909. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 535444 535444 1836686 230834 1605852 1433139 534294 898845 621848 522149 99699 476675 327540 149135 3288975 INTEREST IN NET ASSETS OF BETHESDA FOUND 1945086 CIP - BUILDING EXPANSION 67000 RESTRICTED CASH 1000000 3012086 BIRTHDAY BASH 219771 219771 8784 DR. LUKE DINNER 167730 150530 17200 11868 10302 1 136839 136839 524340 507140 17200 11868 19086 30954 -13754 X X X 0 0 0 0 0 0 0 0 0 DR JOHN ENGLISH EXECUTIVE DIR. 167201 0 0 0 0 0 0 0 0 0 167201 0 0 0 KRYSTI MCWHA FORMER CFO 72054 0 0 0 0 0 0 0 0 0 72054 0 0 0 KRYSTI MCWHA OFFICER/EMPLOYEE 0 A BUSINESS PARTNERSHIP BETWEEN NOW FORMER CFO OF BETHESDA CLINIC AND RETAIL DIRECTOR OF RESALE STORE WAS FORMED TO DEVELOP AND MARKET POS SOFTWARE SPECIFICALLY DESIGNED FOR RESALE "THRIFT" STORES OF NONPROFIT ORGANIZATIONS. 0 X 3113794 FMV X 2 1487678 FMV 0 0 0 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. 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 1 BETHESDA PHYSICIAN ASSOCIATES PO BOX 199 TYLER TX 75710 463482286 PERFORM MEDICAL SERVICES & PROCEDURES TX 501(C)(3) 509(A)(3)I 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 BETHESDA PHYSICIAN ASSOCIATES M 224730 CASH VALUE