nagelclinic.org summer 2021 restoring health and …

NAGEL CLINIC NEWS SUMMER 2021

RESTORING HEALTH AND HOPE IN BANDERA COUNTY

While the medical care system focuses

mainly on the individual patient,

the Nagel Clinic never overlooks

the powerful influence of family in

sustaining a healthy lifestyle and

providing a safety net of support in

times of need. Family involvement is a

critical component of patient-centered

care that impacts the quality of care

and patient outcome.

It has been said that the family is the hidden agent of health

activity in the United States. For example, studies indicate

that seven illness episodes are treated at home for each

one that requires professional attention. For this reason,

the Nagel Clinic believes focusing on policy and practice to

support families in this pivotal role provides a powerful and

cost-effective means of preventive health care.

One such family that benefits from this approach to healthy

living is that of Juan and Paola Gutierrez, along with their

three children: Allie (age 11), Juanito (age 5), and (the newest

member of the family) little Salomon. While the Clinic does

not offer pediatrics, our care of Paola with her pregnancy

test and pre-natal advice contributed to the good health of

both mother and child. Juan is on the staff of Helping Hand

of Bandera County, while Paola is a longtime volunteer. We

recently spoke with Juan about the importance of the Nagel

Clinic to his family.

When did you and Paola find out about the Clinic?

We started around five years ago, when I began working

at Helping Hand. I don’t come very often but I was recently

FamilyMatters

here for some fatigue brought on by simple dehydration. I am

thinking about signing up for an annual physical exam during

June for Mens’ Health Month.

What about anything more serious?

A few years back, I had some major intestinal issues.

Susan Broa (Clinical Director) referred me for a colonoscopy.

Luckily, everything was fine, but I have to say the prep with

drinking the fluid was not the most pleasant (he laughs). The

procedure itself was easy, and I’m glad it showed there was

nothing seriously wrong.

What does it mean to you to have the Clinic here

to take care of you and your wife in case of illness

or injury?

It’s a relief, I have to say. It’s always a friendly environment,

knowledgeable people, and the cost is covered for us. When

I was referred for the colonoscopy, we were asked to donate

something to the Clinic, but beyond that, the procedure was

covered. For a person that does not have insurance – that

means a lot. Paola has been to the Clinic more than I have

due to a family history of elevated cholesterol. She gets good

advice on staying active, what to eat, and now it has returned

to normal stage.

What about other members of your family?

I know my dad has been here a couple of times. Several

friends have come to the Clinic. I know that if the Clinic was

not here, a trip to the emergency room in Kerrville takes time

and could cost thousands of dollars. I have done that one

time, before I started work at Helping Hand. I hurt my foot

and went to the E.R. They took x-rays, did not give me any

painkillers, and the bill was $2,000. I thought it was broken,

but it was just a bad sprain. That really takes a hit on your

budget. Many people in this community depend on the

Clinic. I have to say the biggest plus about the Clinic is that

for people without insurance – they get good care and don’t

have to worry about paying a huge bill.

Juan, Paola Gutierrez with their son Salomon

The Arthur Nagel Clinic’s mission is to improve Bandera County health by providing medical care to eligible residents and promoting health education.

The Clinic is Bandera’s only no-cost health care provider for low-income

Bandera county residents. For more information about becoming a patient,

contact the Clinic at 830-796-3448 or visit NagelClinic.org. Translation

services are available.

The Nagel Clinic is excited to announce a new challenge grant offered by the Carl & Marie Jo Anderson Foundation in the amount of $20,000. The Clinic must raise $20,000 from 1) donors giving above what they gave last year; 2) first-time donors; or 3) donors who did not give in 2020. You can help today by using the enclosed reply envelope to make your special gift for this wonderful challenge grant to provide no-cost, primary health care to low-income, uninsured residents of Bandera County in need. This grant opportunity is the first-ever partnership between the Nagel Clinic and Carl & Marie Jo Anderson Foundation.

The Carl & Marie Jo Anderson Foundation was created

through the will bequests of Carl C. Anderson, Sr. and Marie

Jo Anderson. The Foundation funds non-profit organizations

in Texas, New Mexico and Oklahoma. Since its inception,

the Foundation has invested more than $50 million in

nonprofit organizations to assist them in serving low-income

and vulnerable populations, needs of children and youth,

enhancing the quality of life for senior, improving the quality

of life for people with disabilities, and medical research.

Preference is given to nonprofits serving rural counties.

ENVELOPE ENCLOSED

CHALLENGE GRANT ANNOUNCEDDouble Your Impact To Help Your Neighbors

LEARN MORE ON PAGE 5

NAGELCLINIC.ORG

The Nagel Clinic is pleased

to announce the election of

Mike Arguelles to its Board

of Directors. Mr. Arguelles

is retired from 30+ years as

a firefighter in Los Angeles

and currently serves as a

supervisory committee chair

for a $2B national credit

union. He is also an Adjunct

Instructor with the Texas A&M Engineering Extension

Service (TEEX) in College Station, an internationally

recognized center for fire and rescue, safety, and

homeland security training. He and his wife, JoAnn,

reside in Pipe Creek and are real estate developers in the

Hill Country area.

Also newly elected to the Board

is Michael R. Mulherin,

a retired executive with

Dow Chemical Company’s

cogeneration plants, energy

technology center, and energy

business. Mr. Mulherin brings

a wealth of knowledge in

budgets, audits, assessments,

and senior administrative

review for a corporate giant to the Clinic’s Board. He and

his wife, Rachel, moved from the Gulf Coast to Lakehills

full-time, where they built a home in 2012. They are active

with the Lake Medina Conservation Society, Medina River

Protection Fund, and Bandera County River and Ground

Water District. Additionally, they attend St. Christopher’s

Episcopal Church, where Mike serves on the Vestry and

Outreach Committee. St. Christopher’s played a pivotal role in

the Clinic’s founding, as it was there, 13 years ago, that Arthur

Nagel sought advice for how to establish and fund it.

New Board Members

nagelclinic.org

The Nagel Clinic’s medical and administrative staff, with

key volunteers, gathered for an all-day strategic planning

session on March 11 at the gorgeous Lodge on San Julian

Creek. This critical planning, involving the staff, volunteers,

and Board of Directors, occurs every 4-5 years and deter-

mines the future course of the organization. Our time at

the Lodge was generously underwritten by the Albert &

Margaret Alkek Foundation.

Strategic Planning Success!

The Arthur Nagel Community Clinic has announced the

reopening of their Nagel Clinic at Lakehills, which has been

shuttered since March of last year due to the COVID-19

pandemic and the temporary closing of the Lakehills

Community Center. Located in what is arguably the most

populous area of Bandera County, the branch clinic is again

operating inside the Lakehills Community Center on the

first and third Mondays of each month from 11:30 am until

3:30 pm. The Lakehills Community Center is located at

11225 PR 37, in Lakehills near the shores of Medina Lake.

With the rate of COVID-19 vaccinations increasing each

week, our friends on the Board of Directors of the Lakehills

Community Center have decided to reopen to the public and

we are so pleased to be offering no-cost health care services

to families in Pipe Creek, Bandera Falls, and Lakehills who

can again receive care much closer to where they live. We

urge existing patients and others in the area needing care to

call the main Clinic in Bandera at (830) 796-3448 to set up an

appointment for the Nagel Clinic at Lakehills.

To be eligible to receive services, all Nagel Clinic

patients must provide documented proof of identity,

residency in Bandera County, and family income at or

below 250% of the federal poverty level. Since the

founding of the Nagel Clinic in 2008, medical services have

been provided without charge thanks to generous funding

Nagel Clinic at Lakehills Reopensfrom foundations, corporations, congregations, civic groups

and individuals.

Lakehills Community Center Board President, Kelly Beedle,

shared her excitement about the Clinic’s return to the Lakehills

area. “We are very happy about this restart as well. This

medical service is beneficial to our community at many levels.

NAGEL CLINIC ATLAKEHILLS

GREAT HEALTH CARE JUST GOT CLOSER TO MORE PEOPLE

The Nagel Clinic at Lakehills is part of the award-winning Arthur Nagel Community Clinic in Bandera. At this location, we provide

no-cost professional health care services for low-income, uninsured Bandera County residents, ages 12 and older, specifically those in

the Lakehills, Bandera Falls and Pipe Creek neighborhoods.

16

46Pipe Creek

Bandera Falls

Mico

Lakehills Community Center


PR 3

7

12th St W

Ave

M14th St E

18th St EAv

e Q

37

1283

SERVICES WE OFFER• Complete Health Assessment

• Treatment of Illness & Injury

• Lab Testing

• Medications

• Health Education

• Referrals

Lakehills Community Center11225 PR 37Lakehills, TX 78063

Open the first and third Mondays of each month from 11:30am to 3:30pm.

Patients seen by appointment or on a first-come, first-served basis.

LOCATION & HOURS

Contact Us! (830) 796-3448 NagelClinic.org

REOPENING

JUNE 72021

From The Executive DirectorThese are exceptional days for the Nagel

Clinic. Thank you for partnering with us as

we weathered the challenging year of 2020,

strengthened our financial position, and

developed a new strategic plan to take us

through the next four years of meeting the

health care needs of the most vulnerable in

our community.

We all want life to get back to normal. The good news is we’re getting there. Millions of Americans

have received the COVID-19 vaccines. However, more people still need to be vaccinated in order

to stop the spread of the virus. I’m proud to say that the Nagel Clinic has joined forces with other

organizations across the region to increase awareness and improve vaccination rates.

As the Nagel Clinic continues to redefine its community fundraising event to popular acclaim and

sold-out houses, we are pleased to announce Cork & Fork is back for 2021. Under the theme of

“Will The Circle Be Unbroken: Family, Faith, Freedom”, we will return to The Farm Country Club

on Saturday, November 13. Watch for ticket information in the months ahead. The Clinic is bringing

back music and fun for a worthy cause, and we cannot wait for you to join us.

Lastly, we are delighted that the Carl & Marie Jo Anderson Foundation has, in a new partnership

with us, issued a $20,000 challenge grant for our mission. If the Clinic raises $20,000 from first-

time donors, lapsed donors, or increased gifts over last year, we will receive this needed grant to

help treat our patients. Please join us in this great challenge and make your gift today.

Stay safe. Stay healthy. Get vaccinated.

Chuck LutkeExecutive Director

A team of five graduating seniors from the University of Texas at Austin’s

McCombs School of Business MIS program has generously assisted

the Nagel Clinic by developing and implementing a professional grants

management system within the Clinic’s existing Salesforce donor

database. In 2021, more than 78% of the Clinic’s contributed revenue will

come from foundations and corporations.

Under the direction of Provost Teaching Fellow Professor Clint

HOOK THOSEGRANTS!

NAGEL CLINIC ATLAKEHILLS

GREAT HEALTH CARE JUST GOT CLOSER TO MORE PEOPLE

The Nagel Clinic at Lakehills is part of the award-winning Arthur Nagel Community Clinic in Bandera. At this location, we provide

no-cost professional health care services for low-income, uninsured Bandera County residents, ages 12 and older, specifically those in

the Lakehills, Bandera Falls and Pipe Creek neighborhoods.

16

46Pipe Creek

Bandera Falls

Mico



PR 3

7

12th St W

Ave

M

14th St E

18th St E

Ave

Q

37

1283

SERVICES WE OFFER• Complete Health Assessment

• Treatment of Illness & Injury

• Lab Testing

• Medications

• Health Education

• Referrals

Lakehills Community Center11225 PR 37Lakehills, TX 78063

Open the first and third Mondays of each month from 11:30am to 3:30pm.

Patients seen by appointment or on a first-come, first-served basis.

LOCATION & HOURS

Contact Us! (830) 796-3448 NagelClinic.org

REOPENING

JUNE 72021

We look forward to resuming our partnership with the Nagel

Clinic to provide this important service to our neighbors.”

Space for the Nagel Clinic’s services at Lakehills is generously

provided by the Community Center. A new medical exam bed

was donated to the Nagel Clinic for the Lakehills location in 2019

by St. Christopher’s Episcopal Church in Bandera.

Tuttle, the MIS class project took three months. It involved an in-depth

examination by the students of the multiple steps in the nonprofit

grants process. These include comprehensive funding research,

initial outreach, cultivation, completing the detailed application with

requested budgets and other attachments, grant award, reporting

on the use of funds, recognition, and ongoing relationship with the

foundation or corporation.

The Nagel Clinic is deeply indebted to Professor Tuttle and the

McCombs School of Business at UT Austin for sharing the energy,

enthusiasm, knowledge, and skill of these outstanding students for this

invaluable project to advance our mission.

CA

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BOARD OF DIRECTORS,STAFF & VOLUNTEERSBarbara M. Shepard .................................................. PRESIDENT

Lloyd Norris ........................................................VICE PRESIDENT

Mindi Hauck .............................................................. SECRETARY

James Wilson ...........................................................TREASURER

Mike Arguelles

Katie Gostomski

Mike Mulherin

Toni L. Serene, R.N.

Chuck Lutke ............................................... EXECUTIVE DIRECTOR

Saleh M. Jaafar, M.D. ..................................... INTERNAL MEDICINE,

MEDICAL DIRECTOR VOLUNTEER

Bill Beall, P.A. ........................................................ PRIMARY CARE

Susan Broa ................................................... CLINICAL DIRECTOR

Donna Carrasco, L.P.C ...................................... IBH COUNSELOR

Tonya Carroll ............................................... FACILITIES STEWARD

Barbara Daugherty, P.A.-C. ................................ PRIMARY CARE

Sally Goode, M.A. ....................................... TRIAGE ASSISTANCE

Lydia Gorman, M.A. ............................. LAB SERVICES MANAGER

Sandra Haldeman, M.D. .................................... GYNECOLOGIST

Angelica Hernandez .............................FRONT OFFICE MANAGER

& TRANSLATION SERVICES

Monique Rhea, M.A. .........PRESCRIPTION ASSISTANCE MANAGER

Kymme Simchak ................... INFORMATION SERVICES MANAGER

Carol McConnell, R.N. .....DERMATOLOGY ASSISTANT VOLUNTEER

Michael A. McConnell, M.D. ............. DERMATOLOGY VOLUNTEER

CeAnne Ochel, R.N. .................... MEDICAL SERVICES VOLUNTEER

Linda Smith ............................................RECEPTION VOLUNTEER

Linda Vos, C.L.T, M.L.T .............LAB ADMINISTRATOR VOLUNTEER

Why the Nagel Clinic?

Twenty percent of Texas residents are uninsured – twice the

national average, and the highest state percentage in the

country. According to the Texas Association of Community

Health Centers, about 1.3 million low-income Texans – 42%

of whom are uninsured – rely on community health centers

as their primary health care resource.

Nearly 15% of those living in Bandera County, or

roughly 3,466 individuals based on July 2019 census data,

have incomes at or below 250% of the poverty level,

making them eligible for the Nagel Clinic’s services and

programs. The most recent statistics estimate Bandera

County’s unemployment rate to be 6.0% (Texas Workforce

Commission 1/2021), slightly lower than the overall jobless

rate of 6.6 % for the 13-county Alamo metro area (Alamo

Workforce Solutions, 1/2021).

The patient-to-physician ratio for the county is 3,500:1;

mental health providers at 2,000:1; and the patient-to-dentist

ratio is 7,000:1 (Robert Wood Johnson Foundation, County

Health Rankings 2018.) The Texas Education Agency reports

that 51% of students in Bandera and Medina Independent

School Districts are economically disadvantaged, and 43%

are at risk of not finishing high school. Based on U.S. Census

figures, the county federal poverty rate is nearly 15% of the

23,000 residents.

For Bandera County residents, the closest area hospital

is either a two-hour roundtrip to San Antonio, or a one-hour

roundtrip to Kerrville. This presents a hardship for those

without reliable transportation, sufficient financial means,

and/or schedules that permit lengthy doctor visits.

Additionally, the cost for a trip to the emergency room is

on average 12 times higher than being treated at a medical

provider’s office for common ailments (Houston Chronicle).

For the uninsured, the costs increase more since there is

no carrier to negotiate lower prices. Hospital losses are

frequently offset by federal aid coming from taxpayers.

By continuing to provide health care services the Nagel

Clinic ensures that long-term adverse health consequences,

and attendant financial consequences, are minimized for

the most vulnerable individuals and families in rural Bandera

County.

GROWING TO MEET THE COMMUNITY NEED

CALENDARSave The DatesSEP 3-5Bandera Round-UpMain Street

SEP 23Board of Directors MeetingNagel Clinic

OCT 1-31Breast Cancer Awareness Month

OCT 21Community Resource FairPipe Creek Presbyterian Church

NOV 1-30Alzheimer’s Disease Awareness Month

NOV 137th Annual Cork & ForkThe Farm Country Club

NOV 18Board of Directors MeetingNagel Clinic

NOV 15-19Thanksgiving Food Basket SharingHelping Hand of Bandera County

DEC 15-17Spirits of ChristmasHelping Hand of Bandera County

DEC 27-31Nagel Clinic ClosedHappy Holidays

Dr. Michael A. McConnell, Col. (retired), has joined the staff

of the Nagel Clinic as a distinguished volunteer provider for

dermatology. His wife, Carol, a Registered Nurse, assists him

with examining and treating Clinic patients at visits twice a

month. We are so fortunate to have their combined medical

expertise and good humor!

Dr. Mike brings with him decades of service to America’s military

hospitals and personnel, including assignments in San Antonio,

New York, San Francisco, Panama, Germany, and Saudi Arabia,

among many others. He studied medicine at Trinity College

in Dublin, Ireland, with a Walter Reed Army Medical Center

residency in Washington D.C. He is Board Certified in both

Dermatology and Pathology. Among his many military awards

of merit are the Silver Star, Bronze Star, Combat Medical Badge,

Parachute Wings, and Flight Surgeon Wings.

HELLO McCONNELLS

FINANCIAL SUMMARYAudited by Armstrong Vaughan & Associates, April 2021

2020 2019Total Revenues, Support & Other ....................................................... $1,899,540 $1,412,815

Total Expenses ..................................................................................... $1,864,554 $1,354,044 Fundraising Expenses 4% General & Administrative Expenses 3% Program Expenses 93%

Net Income ................................................................................................ $34,986 $58,771

Total Liabilities & Net Assets ................................................................... $232,559 $186,660

nagelclinic.org

After successfully reimagining our largest annual fundraising

event in 2018 and 2019, the Nagel Clinic canceled the 2020

Cork & Fork because of the global pandemic. Now, with

the mitigation of the virus through safety measures and

vaccinations, the Clinic very much looks forward to welcoming

the community once again to The Farm Country Club this fall for

another memorable and record-breaking Cork & Fork.

“We’re back!” is the collective declaration of the Clinic’s Board

of Directors, Volunteers, and Staff in anticipation of this year’s

showcase event to be held on Saturday, November 13. When

it became necessary to cancel last year’s event, many loyal and

generous supporters stepped up to replace the funds lost to

the operating budget by the cancellation, and we met our goal!

Thank you!

In appreciation of that support, invitations to the 7th annual Cork

& Fork will go first to those who gave to the Rally For The Clinic

Campaign last fall, then to sponsors and ticket buyers for Cork

& Fork in 2018 and 2019. Tickets will go on sale to the public

after Labor Day weekend.

This year’s theme is “Will The Circle Be Unbroken: Family,

Faith, and Freedom” with a reflection on what makes the

Bandera and Hill Country communities so uniquely strong and

united in spirit. New beginnings are cause for celebration, and

we cannot wait to share the joyful return of this remarkable

event with you.

CORK & FORKIS BACK! NOV 13

By Donna Carrasco, L.P.C., N.C.C., C.A.R.T.Integrated Behavioral Health Counselor

The past 16 months of living with COVID-19

has brought many changes for everyone.

We saw significant changes in mental health

in Bandera County, similar to trends seen

around the world. We made several more referrals of

Clinic patients to the Texas Department of Mental Health

& Developmental Disability for further evaluation than we

had in previous years – and quite possibly more than the

prior two years combined.

During the beginning of the pandemic, our weekly

counseling sessions decreased. This was to be expected,

when you look closely at human development. There is

a theory in psychology known as Maslow’s Hierarchy. At

the core level of the theory, humans need to have their

basic needs met. They need food, shelter, clothing,

and safety. At this time, people began to focus on

their immediate safety from the virus, and whether

there would be a disruption to the supply chain.

They isolated at home as requested.

Soon summer arrived. As folks began to realize

they were relatively safe and needs were being met, a

new trauma response surfaced for many. After months of

being locked down and isolated, people found they had

developed acute depression. The only connection some

had to others and the outside world was through social

media and the news networks. Suddenly, we saw a surge

in appointments for depression and anxiety at the Clinic.

This was exactly on trend. Our weekly sessions doubled

as more and more of our patients sought help with the

newly formed depression and anxiety.

In the fall, our weekly sessions began decreasing

and returning to levels seen in previous years. Also, we

had moved to telehealth. This had an added bonus for

our patients that we did not anticipate: approximately half

of our patients have asked to remain on telehealth. They

reported that telehealth has been easier for them with

their busy work schedules and families. It has also been

easier for them financially as they do not have to pay for

rides or gas to drive to the Clinic.

Now we have watched as the vaccine rollout has

intensified during the spring of 2021. Case numbers and

deaths have decreased substantially in the U.S. More of

our pre-COVID life and activities are resuming. Interactions

with family and friends are increasing. While we will never

be free of stressors that affect daily living, at least for now

they are compounded less by fear of a debilitating and

sometimes fatal disease.

MENTAL HEALTH UPDATE

With the pandemic-caused cancellation of Cork & Fork for 2020, the following individuals and organizations responded generously to our Rally For The Clinic Campaign and met the sizeable budget gap caused by the absence of this event. They are our Cork & Fork Angels. We salute each one of them for their significant compassion and care for our community. Thank you!

GUARANTOR Johnny Boyle & Boyle’s Bandera Hardware

Randy Flowers & Jastra Enterprises

Ruth Grubesic

Hondo National Bank

Charlene Kaiser

Sarah & John Loudermilk

Lloyd & Sheri Norris

Pipe Creek Presbyterian Church

St. Christopher’s Episcopal Church

Rob & Roxy Sandidge

Barbara & Joe Shepard

Texas Hill Country Bank

Tracy D. Thayer

Becky Westbrook

Heidi Wyatt

BENEFACTOR Andrea & Jack Angelo

Bandera Bank

Howard Black

Kimberly Bracewell

In honor of Heather Duke

In memory of Bruce Hanks

Kenneth & Lu Ann Carter

Dianna & Spade Condry

Mary C. Conley

Don & Marilyn Davenport

Gail Stone Realty

Gladys Franchett

Victor & Margaret Gambill

Patricia & Kenneth Goben

J.H. Haeckel & Kathleen Campbell

Janice & Richard Hartson

Katy P. Hays

David & Jeanne Hedreen

J.L. & K.D. Hoskelis

Kirby Jones & Bandera Meat Market

Kathleen Keller

Travis Langford

Chuck Lutke

Duane & Jackie Manning

Diana Myers Martin

In memory of Leslie “Rusty” Myers

James & Laurie McLean

Joe & Cynthia McMullan

Barbara C. Mackey

Conrad & Nancy Nightingale

Mark & Rebecca Norton

Janus & Kelly Olive

Lee Parsons

Jody & Carolyn Rutherford

Kathy & Homer Stevens

Robert & Rebecca Taylor

SUSTAINER Cynthia Anderson

Nickie Brackeen

Linda K. James

Karen McMurry

Ruth K. Reeves

Jodie & Billy Sinclair

Marla Stapleton

In memory of George L. Stapleton

Alphee L. Strand

Sarah Terrazas

Sully & Cynthia Woodland

Cork & Fork 2019

FAMILY • FAITH • FREEDOM

Supporting the Mission of the Arthur Nagel Community Clinic

SATURDAY, NOVEMBER 13, 2021

MUSICALGUEST

TONYBOOTH

HOMETOWN

HERO

AWARD

DOOR

PRIZES

AUCTIONS

SALUTE TO VETS

COLORGUARD !!

JOIN US AT

WATCH FOR SPONSORSHIP & RESERVATION INFO THIS SUMMER

★ LIMITED SEATING ★ THIS WILL SELL OUT ★

7 TH ANNUAL

KIRBYJONES

B A N D E R AM E A T M A R K E TC A T E R I N G

DINNER

MENTAL HEALTH UPDATE

nagelclinic.org

FOUNDATION PARTNERSAlbert & Margaret Alkek Foundation

Baptist Health Foundation

Cailloux Foundation

Community Foundation of the Texas Hill Country

Kronkosky Charitable Foundation

Methodist Healthcare Ministries

Norris Family Charitable Fund

Hal & Charlie Peterson Foundation

Rebecca’s Foundation

St. Luke’s Lutheran Health Ministries

San Antonio Area Foundation

Shepard Family Charitable Fund

Perry & Ruby Stevens Foundation

Texas Rural Communities

Isla Carroll Turner Friendship Trust

BUSINESS PARTNERSAncira Buick GMC

Armstrong Vaughn & Associates, PC

Bandera Bank

Bandera Drug, LLC

Bandera Electric Cooperative

Bandera Family Clinic

Bandera Meat Market Catering

Bandera Nursing & Rehabilitation

Bandera Wine & Spirits

Boyle’s Bandera Hardware

Buddy’s Septic & Water Well Service

Cielo Rio Ranch

Columbia IT

Gail Stone Realty

Gastroenterology Consultants of San Antonio

H-E-B

Hill Country Veterinarian Hospital

Hondo National Bank

Hornaday Design

HYO Silver

Illuminatus Creative

James Avery Craftsmen, Inc.

Jastra Enterprises

Mark’s Paint & Body

Peterson Health

Quick Draw Payroll

Texas Hill Country Bank

FAITH-BASED PARTNERSBandera United Methodist Church

First Baptist Church of Bandera

Lakehills United Methodist Church

Pipe Creek Presbyterian Church

St. Christopher’s Episcopal Church

Western Heritage Cowboy Church

Walker Memorial Baptist Church

PUBLIC & SOCIAL PARTNERSBandera County Democratic ClubBandera Economic Development CorporationBandera Wranglers

PROGRAM COLLABORATORSChristus Santa Rosa Mobile Mammogram

Community Health Development, Inc.

Helping Hand of Bandera County

Hill Country Council On Alcohol & Drug Abuse


Silver Sage Senior Center & Meals On Wheels

Student Nurse Education: Baylor University, Incarnate Word

University, Schreiner University, Texas A&M University,

Texas Tech University, University of Texas System

Texas Association of Charitable Clinics

Wesley Nurse Program of Methodist Healthcare Ministries

MEDICAL SPECIALISTCOLLABORATORSAlamo Maxillofacial Surgical

Dr. Sridhar Beeram, Hematology & Oncology

Dr. Richard Childers, Podiatry

Dr. Ralph Fritzsch, Urology

Dr. Michael Gneuchtel, Otolaryngology

Dr. Allan Gratia, Chiropractic

Dr. David Holck, Plastic & Reconstructive Surgery

Dr. Saleh Jaafar, Internal Medicine

Dr. Kuri Kalife, Cardiology

Dr. John Leland, Dentistry

Dr. Daniel Drefke, Dentistry

Mental Health Developmental Disabilities Center

Dr. Geoffrey Millican, Orthopedic Surgery

Momentum Physical Therapy

Dr. John Nelson, Urology

Dr. Gloria O’Campo, Endocrinology

Dr. Brandon Pack, Dentistry

Peterson Regional Medical Center, Emergency Medicine

Dr. Alejandro Pruitt, Gastroenterology

Dr. William Ryan, Pulmanology

Dr. Ted Sako, Dentistry

Dr. Antonio Santillan-Gomez, Oncologic Surgery

South Texas Rural Health Services

Dr. Fred Speck, Dermatology

Texas Department of Health Services, Vaccinations

Texas Workforce Solutions, Audiology

Dr. Christine Toth, Nephrology

Dr. Matthew Wayner, Ophthalmology

INSTITUTIONAL PARTNERS

The Nagel Clinic’s foundation, business, faith-based, public,

social, and professional partners make it possible for the Clinic to provide no-cost

health care for our community. We are incredibly proud to

work with these organizations and grateful for all they do.

Alex Alford

Dave & Sunni Allen

Paulo Amaya

Jack & Andrea Angelo

Eloy Armstrong

Steven Asher

Linda Augustine

Maria Avalos

Jim Avery

Katherine Ayers

Alan Barnes

Howard Black

Johnny & Holly Boyle

Kimberley Bracewell

Bob & Barbara Brischetto

Ted & Susan Broa

Ryan Brown

Juan Buenrostro

Buddy & Karon Byrd

Dani Byrne

Carlos Caseres

Filemon Campos

Tonya Carroll

Kenneth Carter

Raul Castillo

Charlotte Clark

Don & Nel Clark

Lia Cloudt

Spade & Dianna Condry

Mary C. Conley

Mirtala Contreras

Martin Cordero

Chapman Creighton

Leonard Curd

Barbara Dauerty

Don & Marilyn Davenport

Hila de la Cerda

Ray D’Spain

Julie Elise

Ann Elizondo

Maria Esquivel

Randy Flowers

Gladys Franchett

Victor Gambill, Jr.

Kenneth & Patricia Goben

Frank Goldstein

Katie Gostomski

Ruth Grubesic

Francisco Gutierrez

Joe Haeckel & Kathleen Campbell

Sandra Haldeman, M.D.

Richard & Janice Hartson

Mindi & Chuck Hauck

Katy P. Hays

David & Jeanne Hedreen

Victoria Hendrickson

Daniela Hernandez

Marco and Maria Alva Hernandez

Angela Hood

J.D. & K.D. Hoskelis

Carl Hubble

Saleh M. Jaafar, M.D.

Linda James

Dennyeill Jenkins

Rix & Suzie Jenkins

Ernesto & Llenid Jimenez

Glen Johnston

Susan Junker & Dennis Birchall

Charlene Kaiser, M.D.

Scott Kaufmann

Kathleen Keller

Brooks Kemp

Ray & Ginger King

Tina Kovach

William Kowalik

Travis Langford

James Larson

Don & Karen Lee

Kaite Lee

Janna Lindig

Katherine Long

Menetta Lopez

John & Sarah Loudermilk

Chuck Lutke

Barbara C. Mackey

Rev. & Mrs. Duane Manning

Doris Marshall

Diana Myers Martin

Lauren Martin

Harry & Barbara Maxwell

J. R. McIntire

James & Laurie McLean

Joe & Cindy McMullan

Judith Meade

Lesbia Mencos

Dan & Kerr Mendez

Sandra Miles & Roger Wolfe

Bart & Sue Moore

Frances Moore

Thomas Morrow

Gary & Sandy Nagel

Lourdes Navarro

Conrad & Nancy Nightingale

Lloyd & Sheri Norris

Mark & Rebecca Norton

Gary Olander

Janus & Kelly Olive

Amy Ouellette

Jo Ann Palomo

Lee Parsons

Trinidad Plaza

Katherine Poujardieu

Sebastian Presa

Alejandro Pruitt, M.D.

Baldomero Rangel

Robert Rice & Donna Ross

Jody & Carolyn Rutherford

Marilyn St. James

Erica Salazar

Ana Saldana

Rob & Roxy Sandidge

Clarence & Mary Schmidt

Nita Schneider

Fred & Toni Serene

George & Barbara Sharman

Joe & Barbara Shepard

Homer & Kathy Shepherd

Galina Showell

Friends of Troy Simchak

Rev. & Mrs Richard Snyder

E.W. & Jeanne Stafford

Homer & Kathy Stevens

Gail Stone

Sabrina Stroud

Julia Swainson

Robert & Rebecca Taylor

Tracy D. Thayer

Martin Trevino

Paul Urban

Karen Utterback

Carolina Varela & Jose Garcia

Patricia Watt

Richard Watts

Becky Westbrook

James A. Wilson, Jr.

Katarina Wolf

Heidi Wyatt

Shanna Younger

John Zepnick

6 Anonymous

One hundred percent of the Board of Directors and Staff of the Nagel Clinic contribute financially to its mission.

THANK YOU TO ALL OUR SUPPORTERS!

ANNUAL FUND DONORS

The Clinic gratefully recognizes the commitment and generosity of our annual contributors.

nagelclinic.org

The Nagel Clinic has been able to upgrade

technology and add value to the patient

experience with the acquisition of needed

equipment.

To save time and expense for results from an

outside lab, an A1C Analyzer was purchased for

our in-house lab.

Likewise, patients no longer must travel to

and from Boerne for some imaging as a new

portable Ultrasound has been added. This device

is especially helpful for our patients in the Well-

Woman Program.

Lloyd and Sheri Norris have gifted the Clinic with

a new, digital 1,000-lb capacity weight scale with

needed handrails for our infirm patients.

And finally, thanks to Methodist Healthcare

Ministries, the Clinic replaced its timeworn ECG

with a brand new model.

New Medical Equipment

Community PartnershipMention the Nagel Clinic News and get 20% off of each admission at the Frontier Times Museum in Bandera! Offer good through July 31, 2021.

The Frontier Times Museum

preserves and shares the rich cultural

heritage of Bandera County and the

frontier times of Texas. The Museum

is also the trusted resource center for

historical research and information

for Bandera County residents and

visitors alike. It is the home of the

Frontier Times Museum Texas

Heroes Hall of Honor.

Open Monday through Saturday

10 am to 4:30 pm

510 13th Street, Bandera, Texas, (830) 796-3864

frontiertimesmuseum.org

We Get Cards And

Letters(And Cookies)Thank you all for what you do, especially during such

trying times. Have a good week!

M. (SHE BROUGHT THE COOKIES!)

We realize and appreciate your efforts to care for

people in our community. Thank you for all you do.

We pray for you daily!

D.

The people who work here have created a really

amazing place. I have had my faith in humanity

restored. What a gift you all are to this community.

G.

When life is really difficult, it helps to have people

like you to lean on. Love y’all.

A.

Each year, the Nagel Clinic is pleased to welcome nursing

students from area universities for training and observation

as part of their clinical rotation hours toward their degrees.

We take seriously our role in helping to shape their

professional perspective and careers. All have expressed

their gratitude for their time in Bandera and the experiences

they have had here. The following students have studied and

worked alongside our medical staff during 2020 and 2021:

Mary Baker ................................Baylor University

Grace Crandall .................. Texas Tech University

Cameron Davis .....................Schreiner University

Carra Gillaspy .......................Schreiner University

Dominic Liguori ............... UTHealth San Antonio

Kassidy Milburn .........Texas A&M Corpus Christi

Kimberly Zarobkiewicz ............Baylor University

In addition, we have welcomed more than 35 LVN students

from Schreiner University who do their clinical rotations in

pairs over 10 weeks from May to July.

Welcome Student Nurses!

Mary Baker

Kassidy Milburn

Linda Smith is just what the doctor ordered: an eager, friendly,

and skilled volunteer for the Nagel Clinic who comes with

a Master’s Degree in Health Care Administration from the

University of California at San Bernardino. She hails from

Apple Valley, California, which is famous for a couple of other

residents: Roy Rogers and Dale Evans. Linda feels right at

home in Bandera, the Cowboy Capital of the World.

We are so fortunate to have Linda, who knows her way

around complex electronic medical records and healthcare

terminology, plus is an always smiling face when she interacts

with patients at the reception desk or on the phone.

Linda is a relatively new resident of Texas, who discovered the

Clinic when she came to donate some medical supplies after

the death of her husband. Her remarkable talents became so

needed that she quickly went from one day to two and a half

days per week. She cites her love for the Nagel Clinic in this

order: 1) the people she gets to work with; 2) the fulfillment of

the work itself; and 3) the patients are so nice!

We Love Our Volunteers

Dominic Liguori

With Your Support, The Nagel Clinic Adds Value To Patient Care

Weight Scale

Portable Ultrasound ECG

C1C Analyzer

Linda Smith

nagelclinic.org summer 2021 restoring health and …

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