2023-11-14T08:37:03-06:00 2022-12-31 752147296 GOLLOB MORGAN PEDDY PC 1001 ESE LOOP 323 STE 300 TYLER TX 75701 990 2022-01-01 270954405 ST PAUL CHILDREN'S MEDICAL CORPORATION STPA 9035319455 PO BOX 1238 TYLER TX 75710 JONATHAN JETTER TREASURER 9035319455 2023-11-09 1 JONATHAN JETTER XXX-XX-XXXX 0 KEVIN CASHION P00246409 9035340088 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JONATHAN JETTER 1358 E RICHARDS STREET TYLER TX 75710 1952657 0 X WWW.STPAULCHILDREN.ORG X 2009 TX WORKING TOGETHER IN THE SPIRIT OF CHRIST TO BUILD A HEALTHY AND JOYFUL COMMUNITY FOR CHILDREN AND THEIR FAMILIES. 17 17 43 1 0 0 0 0 1148961 1382054 88 71 553040 570532 1702089 1952657 0 0 0 0 1295102 1527767 0 0 0 484303 473424 1779405 2001191 -77316 -48534 367306 315307 84567 81102 282739 234205 TO PROVIDE PEDIATRIC MEDICAL, DENTAL AND VISION SERVICES FOR THE CLINICS OF ST. PAUL CHILDREN'S FOUNDATION. 0 0 1145458 721764 INDIGENT PEDIATRIC HEALTHCARE - CLINIC IS OPEN MONDAY THROUGH FRIDAY, 8:00 AM UNTIL 5:00 PM. DURING 2022, THE MEDICAL CLINIC HAD MORE THAN 11,200 PATIENT VISITS AND OUT OF THESE VISITS, 675 WERE NEW PATIENTS. 789120 660290 INDIGENT PEDIATRIC DENTAL CARE - CLINIC IS OPEN MONDAY THROUGH THURSDAY, 7:30 AM UNTIL 5:30 PM. DURING 2022, THE DENTAL CLINIC HAD MORE THAN 3,700 PATIENTVISITS AND OUT OF THESE VISITS 456 WERE NEW PATIENTS. 66613 0 INDIGENT EYE CARE - STARTED AS A NEW PROGRAM IN 2021 AND IS CURRENTLY SEEING PATIENTS. 2001191 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 43 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X CATHY HOFFMAN 9035319455 PO BOX 1238 TYLER TX 75710 DENNIS STANSBURY DDS PRESIDENT 5.00 X X 0 0 0 PATSY LEWIS CHAIRWOMAN EMERITUS 5.00 X X 0 0 0 BOBBY HERRINGTON DIRECTOR 1.00 X 0 0 0 DUANE ANDREWS MD CHAIRMAN EMERITUS 5.00 X X 0 0 0 EVANGELA ANDERSON MD SECRETARY 5.00 X X 0 0 0 MELISSA W BRIGMAN DIRECTOR 1.00 X 0 0 0 RANDY GROOMS DIRECTOR 1.00 X 0 0 0 SHARLYN MAY EXECUTIVE DIR. 20.00 20.00 X X 60059 57156 0 TRAVIS MARKLE DDS DIRECTOR 1.00 X 0 0 0 STUART HENE VP GOVERNANCE 5.00 X X 0 0 0 JONATHAN JETTER TREASURER 5.00 X X 0 0 0 DR PAUL MCGAHA DIRECTOR 1.00 X 0 0 0 LYNN PINKERTON VP DEVELOPMENT 5.00 X X 0 0 0 EMIGDIO ROSALES DIRECTOR 1.00 X 0 0 0 SUZY KING DIRECTOR 1.00 X 0 0 0 JOHNNY ORTIZ DIRECTOR 1.00 X 0 0 0 KATHERINE SCOTT DIRECTOR 1.00 X 0 0 0 DANNY L PRICE MD 40.00 X 186899 0 0 VALERIE SMITH MD 40.00 X 129014 0 0 PREETI DSOUZA MD 40.00 X 120192 0 0 496164 57156 0 3 0 1 0 0 CLINIC PATIENT FEES 621400 1382054 1382054 1382054 71 71 FORGIVENESS OF DEBT 900099 570532 570532 570532 1952657 1382054 0 570603 469893 469893 939220 939220 118654 118654 19912 19912 594 594 46635 46635 22608 22608 444 444 38471 38471 159422 159422 SUPPLIES 101339 101339 DUES AND SUBSCRIPTIONS 22205 22205 REPAIRS AND MAINTENANCE 21924 21924 LEASE EXPENSE 11247 11247 28623 28623 2001191 2001191 0 0 21277 5287 11846 18014 76570 68748 13597 15231 511175 303148 244016 208027 367306 315307 84567 81102 84567 81102 X 282739 234205 282739 234205 367306 315307 -48534 0 X 0 1 X 0 0 X 279393 199394 79999 231782 103754 128028 208027 0 0 0 0 0 0 0 0 0 DANNY L PRICE MD 186899 0 0 0 0 0 0 0 0 0 186899 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B LINE 8 EXPLANATION - ST PAUL CHILDREN'S MEDICAL CORPORATION CONTEMPORANEOUSLY DOCUMENTS ALL MEETINGS HELD BY THE GOVERNING BODY. HOWEVER, SINCE THE CORPORATION DOES NOT HAVE ANY COMMITTEES, LINE 8B DOES NOT APPLY. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE 990 WILL BE REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. THE CONFLICT OF INTEREST POLICY IS CONSISTENTLY MONITORED AND ENFORCED BY REVIEWING THE POLICY AT BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A AND 15B: COMPENSATION 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 THE GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. ST PAUL CHILDREN'S FOUNDATION PO BOX 1238 TYLER TX 75710 752687636 CLOTHES CLOSET/FOOD PANTRY TX 501(C)(3) 509(A)(2) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0