Bethesda Health Clinic

aka Bethesda Health Clinic   |   Tyler, TX   |
GuideStar Charity Check

Bethesda Health Clinic

EIN: 26-0036674


Bethesda Health Clinic is a Christ-centered ministry that provides affordable, high quality care for the working uninsured and others we are able to serve.

Ruling year info



Dr. John English

Main address

409 West Ferguson

Tyler, TX 75702 USA

Show more contact info

Formerly known as

Tyler Faith Based Health Clinic



Subject area info

Health care clinics

Population served info


Working poor

NTEE code info

Ambulatory Health Center, Community Clinic (E32)

IRS subsection

501(c)(3) Public Charity

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

Tax forms



See related organizations info

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

Bethesda provides medical and dental care to the niche of people who are working but either uninsured or underinsured. We are working to fill this gap by helping these hardworking citizens take care of their health and live better lives. This specific niche is not eligible for government programs but unable to pay for the cost of health insurance.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Primary Medical Care

See over 800 patient encounters a month. This includes general primary care, specialty care services, xray, sonograms, counseling and dentistry services. Along with this, over 300 patient encounters happen in the new monitored exercise program

Population(s) Served

The specific program began in September 2003 and has matured dramatically after the hiring of a full time nurse in June 2004. The program has grown to incorporate many facets of case management. The program continues to expand thanks to the growing numbers of volunteer nurses and dieticians who provide one on one and group care and services. The program saw over 18,500+ patient visits last year. Over the last quarter of the year, the program once again registered over 100 new patients a month with the outlook going forward of continued increase in patients. The program has now expanded to having more nurses helping both in the clinic and providing one on one services for the patients with a heavy emphasis on diabetes due to its significant problems, particularly in the younger population. In 2012 the nutrition program saw significant growth with the focus on the nutrition component and goal setting and behavioral changes.

The purpose of the program is to provide affordable, high quality preventative and chronic disease care to working uninsured adults of Smith County. The program's wellness management includes screening laboratory services to screen for potential problems such as diabetes, high blood pressure, high cholesterol, etc.; provide nutrition education; as well as screening tests such as pap smears and mammograms. For patients with chronic disease problems the program helps with both acute and chronic disease care. The top five medical conditions treated in this program are diabetes, high blood pressure, low thyroid problems, high cholesterol, and depression. The chronic disease program provides greatly discounted lab work, x-rays and dental services along with referrals to specialist when needed. Also the program works to make prescription medication available through a collaboration with the PATH prescription program. The program is working with the YMCA to develop a collaboration to bring exercise to some of these chronic disease patients. This collaboration will allow patients with chronic medical problems or risk of medical problems (obesity, etc.) to have a safe place to begin healthy exercise habits

Population(s) Served

Where we work

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of volunteer health care providers

This metric is no longer tracked.
Totals By Year
Population(s) Served

Economically disadvantaged people, Immigrants and migrants, Self-employed people, Veterans, Age groups

Related Program

Primary Medical Care

Type of Metric

Input - describing resources we use

Direction of Success


Context Notes

Volunteer health care providers are a key part of the services we offer as they allow us to provide specialized care to our patients at minimal cost.

Number of new clients within the past 12 months

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success


Context Notes

Our clinic saw 847 NEW medical patients in 2022.

Number of patient visits

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success


Context Notes

Patient Visits tracked for medical, dental, counseling and women's health.

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

The ultimate goal of the clinic is to empower our patients to play an active role in their health care so ultimately they live healthier, more productive lives. The clinic does this by addressing the underlying medical issues of obesity along with the more debilitating medical problems such as diabetes, hypertension and poor dental care. The clinic works through both medical case managers and social workers to help track the progress of our patients as well as those who are not achieving success. The goal is to partner with our local non profits and churches to connect the patient to the right resource to allow the patient to actively improve their own situation.

The clinic works with local nonprofits, partnering churches, a large number of medical and office volunteers and a small staff to help make this goal a reality. The clinic begins with quality affordable care by partnering with many different medical groups (currently over 20). Then we utilize over 200 medical volunteers to help expand our number of services including a vast array of specialty services provided predominately by donated medical care. We also utilize a significant number of volunteer nurses, front desk personnel and back office volunteers to help expand services while keeping costs to a minimum.

Next, the clinic employees nursing case managers and social workers to work with the clients while in the clinic to improve their care, especially for those needing additional care and also after the office visits to follow those who need close attention and those not at goal. Many of our patients struggle with social and financial issues so our social worker - along with a team of volunteers - works to help the patients overcome these barriers.

We collaborate with our local churches to find volunteers who can work with patients with chronic disease as well as nutritional issues to help set goals and follow the patients over a course of months to help them meet these goals.

Additionally, we work with our local dental community and have a small dental staff to provide general dental care including periodic dental cleanings.

A new effort we are undertaking is the expansion of our Women's health services. We have added a staff OB/GYN who practices 1 day each week. This has also increased our ability to offer more testing to female patients. We are working with a volunteer physician/consultant to discover other ways to expand this specialized care as well.

The clinic has been blessed with a 12,000 square foot, modern facility to allow for over 18,000 patient visits last year. The clinic has continued to increase the number of patients seen as more volunteers are made available to see patients. Also the community has supported the clinic through donated medical equipment, monetary donations and volunteer time. Generous donors enabled a 2015 building expansion and remodel that has increased exam room space and improved patient flow and care. Continued community support has allowed Bethesda Clinic to have an up to date medical facility that includes modern exam rooms, electronic medical records, digital x-ray for medical and dental services, state of the art dental equipment and first class medical staff. Because of the electronic records, the clinic is able to closely track outcomes and patient progress.

The clinic also partners with 6-8 churches that provide volunteer medical care throughout the year on selected Saturdays. Over 40 churches annually support the clinic with finances and volunteers. These volunteers are critical for patient tracking and support as the patients set specific health goals.

The clinic employees a staff of over 20 part and full time staff. These staff members are some of the best in the community in their field and able to help direct the various programs of the clinic. The clinic is able to partner with and refer patients to more than 20 local medical groups and hospitals to provide the needed specialty care and testing to fully impact this community. The Smith County community continues to financially support the efforts of the clinic to allow us to continue to grow as needs arrive.

Finally, the clinic has always looked at innovative sources for funding. Bethesda has opened a resale thrift store (Hangers of Hope) to provide additional operating funds to the clinic. We also host two major fundraising events each year. Along with these outside sources, patient fees cover approximately 1/3 of the expenses and help as the clinic grows to see more patients. Dental patient fees cover a high percentage of the dental expenses as well.

The clinic continues to make progress toward better healthcare for the working uninsured adults. The outcomes for diabetes remains good with over 50% at goal (above national statistics) and almost 70+% under an unacceptable range. We have learned that controlling this groups diabetes is more than just getting patients medications and labs which is something we have done very well. There are also a lot of social stresses and problems of a lifetime of not setting goals and achieving them. We are working to develop a network of mentors to help patients who would like to set goals, to both help them in setting the goals as well as follow them regularly to be sure they achieve even small goals toward an ultimate step of having them feel fully empowered to continue doing the right steps long term.

The newest challenge has been attempting to get hypertensive patients under control. This group has the least amount of symptoms and generally takes this illness less seriously. We are working to develop some case management tools and also data tracking mechanisms to follow the results. Currently we have near 60% of the patients at their targeted goal. We have hired a person to help with data collection and reporting to help get more up to date information as the year progresses. We have also increased our nutritional classes and include demonstration cooking classes to help patients learn tools to improve their nutrition with items they have at home.

So many of our patients suffer with problems with bad dentition and poor understanding on how to keep their teeth healthy. We have expanded to have 4 1/2 days of dental care and dental hygiene with lots of education with these services. We have begun to get patients to come on more regular basis so that not only is pain and suffering relieved but also able to do some preventative care. We have doubled the size of our dental clinic with a recent building expansion and are able to see many more patients.

The biggest challenges to the program are figuring out the best way to motivate patients to choose healthy lifestyles who are facing such difficult challenges in life, helping patients who are basically without a reason to live, and finally finding funding to continue to expand for a growing number of patients with complicated medical problems. Part of the limited success in our outcomes has to do with patient motivation. We have found more patients through the years trying to do life solo. They have no financial resources, no friends and no specific reason to live. We are trying to approach them by expanding our social work services and utilizing volunteers to call patients with chronic disease regularly. Finding adequate funding sources for programs that generate little income will always be a challenge.


Bethesda Health Clinic
Fiscal year: Jul 01 - Jun 30

Revenue vs. expenses:  breakdown

SOURCE: IRS Form 990 info
Note: When component data are not available, the graph displays the total Revenue and/or Expense values.

Liquidity in 2022 info

SOURCE: IRS Form 990


Average of 4.55 over 10 years

Months of cash in 2022 info

SOURCE: IRS Form 990


Average of 3 over 10 years

Fringe rate in 2022 info

SOURCE: IRS Form 990


Average of 16% over 10 years

Funding sources info

Source: IRS Form 990

Assets & liabilities info

Source: IRS Form 990

Financial data

Source: IRS Form 990 info

Bethesda Health Clinic

Revenue & expenses

Fiscal Year: Jul 01 - Jun 30

SOURCE: IRS Form 990

Fiscal year ending: cloud_download Download Data

Bethesda Health Clinic

Balance sheet

Fiscal Year: Jul 01 - Jun 30

SOURCE: IRS Form 990

The balance sheet gives a snapshot of the financial health of an organization at a particular point in time. An organization's total assets should generally exceed its total liabilities, or it cannot survive long, but the types of assets and liabilities must also be considered. For instance, an organization's current assets (cash, receivables, securities, etc.) should be sufficient to cover its current liabilities (payables, deferred revenue, current year loan, and note payments). Otherwise, the organization may face solvency problems. On the other hand, an organization whose cash and equivalents greatly exceed its current liabilities might not be putting its money to best use.

Fiscal year ending: cloud_download Download Data

Bethesda Health Clinic

Financial trends analysis Glossary & formula definitions

Fiscal Year: Jul 01 - Jun 30

SOURCE: IRS Form 990

This snapshot of Bethesda Health Clinic’s financial trends applies Nonprofit Finance Fund® analysis to data hosted by GuideStar. While it highlights the data that matter most, remember that context is key – numbers only tell part of any story.

Created in partnership with

Business model indicators

Profitability info 2017 2018 2020 2021 2022
Unrestricted surplus (deficit) before depreciation $364,014 $170,193 $265,598 $2,558,992 $1,192,950
As % of expenses 10.0% 3.7% 4.8% 30.4% 12.7%
Unrestricted surplus (deficit) after depreciation $225,499 $30,510 $117,738 $2,402,430 $1,021,462
As % of expenses 6.0% 0.6% 2.1% 28.0% 10.7%
Revenue composition info
Total revenue (unrestricted & restricted) $3,812,777 $4,895,474 $5,239,676 $8,420,813 $10,041,396
Total revenue, % change over prior year 28.3% 28.4% 0.0% 60.7% 19.2%
Program services revenue 17.2% 13.6% 15.0% 11.5% 11.6%
Membership dues 0.0% 0.2% 0.2% 0.1% 0.0%
Investment income 0.1% 0.0% 0.1% 0.2% 0.0%
Government grants 0.0% 0.0% 0.0% 6.8% 0.0%
All other grants and contributions 96.6% 101.8% 101.7% 83.9% 89.5%
Other revenue -13.9% -15.7% -16.9% -2.5% -1.2%
Expense composition info
Total expenses before depreciation $3,626,003 $4,632,303 $5,571,111 $8,409,906 $9,378,064
Total expenses, % change over prior year 20.0% 27.8% 0.0% 51.0% 11.5%
Personnel 39.6% 34.4% 38.2% 37.7% 40.3%
Professional fees 7.5% 7.2% 7.7% 4.4% 5.0%
Occupancy 6.8% 6.9% 8.0% 7.3% 6.1%
Interest 0.0% 1.6% 1.3% 0.7% 0.4%
Pass-through 0.4% 0.0% 0.0% 0.0% 0.0%
All other expenses 45.7% 49.8% 44.7% 49.9% 48.2%
Full cost components (estimated) info 2017 2018 2020 2021 2022
Total expenses (after depreciation) $3,764,518 $4,771,986 $5,718,971 $8,566,468 $9,549,552
One month of savings $302,167 $386,025 $464,259 $700,826 $781,505
Debt principal payment $50,313 $52,055 $0 $1,325,628 $178,419
Fixed asset additions $0 $0 $0 $0 $0
Total full costs (estimated) $4,116,998 $5,210,066 $6,183,230 $10,592,922 $10,509,476

Capital structure indicators

Liquidity info 2017 2018 2020 2021 2022
Months of cash 1.7 1.6 1.7 1.1 0.7
Months of cash and investments 2.3 2.1 2.6 2.5 5.1
Months of estimated liquid unrestricted net assets 6.4 5.2 6.2 5.8 6.4
Balance sheet composition info 2017 2018 2020 2021 2022
Cash $509,288 $622,008 $788,289 $773,593 $538,428
Investments $192,560 $180,752 $431,171 $991,033 $3,422,038
Receivables $366 $0 $7,500 $0 $0
Gross land, buildings, equipment (LBE) $4,545,407 $4,634,174 $4,789,558 $4,903,792 $5,009,722
Accumulated depreciation (as a % of LBE) 22.2% 25.4% 29.9% 32.9% 36.2%
Liabilities (as a % of assets) 36.7% 36.1% 34.9% 15.2% 11.2%
Unrestricted net assets $3,561,516 $3,592,026 $3,833,299 $6,235,729 $7,257,191
Temporarily restricted net assets $21,235 $28,732 N/A N/A N/A
Permanently restricted net assets $0 $0 N/A N/A N/A
Total restricted net assets $21,235 $28,732 $1,066,141 $1,137,542 $2,254,792
Total net assets $3,582,751 $3,620,758 $4,899,440 $7,373,271 $9,511,983

Key data checks

Key data checks info 2017 2018 2020 2021 2022
Material data errors No No No No No


The people, governance practices, and partners that make the organization tick.

Form 1023/1024 is not available for this organization


Dr. John English

Dr. John English is a family practice physician who left his private practice to help further the ministry of Bethesda. He received his MD degree from UT Southwestern in Dallas in 1993 and completed his residency at John Peter Smith in Fort Worth. For 7 plus years he was practicing in a large group practice in Tyler. Since 2001 he has been involved in the planning and development of Bethesda with the goal of bringing affordable healthcare to those most often overlooked. His goal is to provide a very affordable option of healthcare with high quality for those working uninsured individuals. Since 2004 he has served as medical and executive director of the clinic.

Number of employees

Source: IRS Form 990

Bethesda Health Clinic

Officers, directors, trustees, and key employees

SOURCE: IRS Form 990

Show data for fiscal year
Compensation data
Download up to 5 most recent years of officer and director compensation data for this organization

Bethesda Health Clinic

Highest paid employees

SOURCE: IRS Form 990

Show data for fiscal year
Compensation data
Download up to 5 most recent years of highest paid employee data for this organization

Bethesda Health Clinic

Board of directors
as of 05/23/2023
SOURCE: Self-reported by organization
Board of directors data
Download the most recent year of board of directors data for this organization
Board chair

Mr. Ramsey Starks

Tyler Independent School District

Term: 2017 - 2019

Michelle Brookshire

Shannon Dacus

The Dacus Firm

Aaron Fleet

Baylor Scott and White Texas Spine and Joint

David Krafve

Orbit Land Services

Amber Owen

Bancorp South

Josh Roberts

Roseman Wealth Advisors

Laurie Lenhoff-Watts

UT Health East Texas

Michelle Carr

Community Volunteer

Shane Butler

John Soules Foods

Shelly Welch

CHRISTUS Trinity Mother Frances

Randy Childress

Edward Jones

Jennifer Bailey


Sandra Owens

Retired Educator

Katy Kummerfeld

Community Volunteer

Wade Barker, DDS

Southern Surgical Arts

Kay Latta

Henry and Peters

Lee Gibson

Southside Bank

Carrie Tutt, M.D.


Becky Western


Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes

Organizational demographics

SOURCE: Self-reported; last updated 12/1/2020

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.


The organization's leader identifies as:

Race & ethnicity
Gender identity
Sexual orientation
Heterosexual or straight
Disability status
Decline to state

Race & ethnicity

No data

Gender identity

No data


No data

Sexual orientation

No data


No data