2024-03-23T10:40:59+00:00 2023-06-30 440160260 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2022-07-01 741153067 CLARITY CHILD GUIDANCE CENTER CLAR 2106160300 8535 TOM SLICK DRIVE SAN ANTONIO TX 782293363 JESSICA KNUDSEN PRESIDENT/CEO 2024-03-23 true 999009999 JEANETTE VERRELLI P00742631 9727028262 2022 2023-04-26 12:10:37Z JESSICA KNUDSEN 8535 TOM SLICK DRIVE SAN ANTONIO TX 782293363 30632766 false X WWW.CLARITYCGC.ORG X 1886 TX TO PROVIDE TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL AND/OR PSYCHIATRIC DISORDERS. 19 19 411 19 0 0 2383949 3984527 28704010 26161402 262068 361193 257657 125644 31607684 30632766 0 0 0 0 17486971 19068762 0 0 52663 10420099 11635289 27907070 30704051 3700614 -71285 37669586 41932131 18335493 21899049 19334093 20033082 TO HELP CHILDREN, ADOLESCENTS AND FAMILIES OVERCOME THE DISABLING EFFECTS OF MENTAL ILLNESS AND IMPROVE THEIR ABILITY TO FUNCTION SUCCESSFULLY AT HOME, AT SCHOOL AND IN THE COMMUNITY. false false 27390122 26219093 PROVIDED TREATMENT FOR CHILDREN AND ADOLESCENTS SUFFERING FROM DEPRESSION, BIPOLAR DISORDER, TRAUMA-BASED DISORDERS, AND ADHD. SERVICES INCLUDED: PSYCHIATRIC EVALUATIONS; INDIVIDUAL, FAMILY, AND GROUP THERAPY; 24-HOUR CARE BY SPECIALLY TRAINED NURSES; THERAPEUTIC RECREATION; BEHAVIOR MANAGEMENT; HIGHLY STRUCTURED ENVIRONMENT; AND EDUCATIONAL PROGRAMS. MAINTAINED A LOW STAFF TO PATIENT RATIO OF 1:3, LOGGED 19,477 INPATIENT DAYS, 5,503 PARTIAL HOSPITALIZATION DAYS, 12,327 OUTPATIENT VISITS AND PROVIDED CHARITY CARE, INDIGENT HEALTH CARE AND OTHER COMMUNITY BENEFITS DURING THE FISCAL YEAR. THE NET PATIENT REVENUE BEFORE CHARITY AND BAD DEBT WAS $20,176,049 FOR INPATIENT CARE, $2,048,954 FOR THE PARTIAL HOSPITALIZATION PROGRAM, AND $921,087 FOR OUTPATIENT CARE. 27390122 true true false true false false false false false true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false false true false false false false true true true false false true 65 0 true 411 true false false false false false false false false false false false false X 19 19 false false false false false false false true true false false false true true true true true true true false X DERRICK FLOWERS 2106160300 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 Angela Holliday VICE CHAIR 1.0 0 X X 0 0 0 Joanna Weidman IMMEDIATE PAST CHAIR 1.0 0 X X 0 0 0 Reed Hurley CHAIR ELECT & TREASURER 1.0 0 X X 0 0 0 Shanna Ramirez SECRETARY 1.0 0 X X 0 0 0 Tony LoBasso CHAIR 1.0 0 X X 0 0 0 Adele Glenn DIRECTOR 1.0 0 X 0 0 0 Alexander Rapp DIRECTOR 1.0 0 X 0 0 0 Ami Gordon DIRECTOR 1.0 0 X 0 0 0 Ashley Dahlberg DIRECTOR 1.0 0 X 0 0 0 Benjamin Scott DIRECTOR 1.0 0 X 0 0 0 Blakeley Fernandez DIRECTOR 1.0 0 X 0 0 0 John Seybold DIRECTOR 1.0 0 X 0 0 0 Justice Luz Elena Chapa DIRECTOR 1.0 0 X 0 0 0 Mesha Millsap DIRECTOR 1.0 0 X 0 0 0 Peggy Deming DIRECTOR 1.0 0 X 0 0 0 Rachel Belmares DIRECTOR 1.0 0 X 0 0 0 Sharen Denson DIRECTOR 1.0 0 X 0 0 0 Tammy Fulgham DIRECTOR 1.0 0 X 0 0 0 Vanessa Hurd DIRECTOR 1.0 0 X 0 0 0 Carol Carver VP PATIENT SERVICES 40.0 0 X 174700 0 19908 Chris Bryan VP INFORMATION TECH 40.0 0 X 154017 0 4160 Derrick Flowers VP FINANCE 40.0 0 X 180148 0 3481 Geoffrey Gentry VP CLINICAL SERVICES 40.0 0 X 169582 0 14048 Gina Massey VP HUMAN RESOURCES 40.0 0 X 148788 0 7093 Jessica Knudsen PRESIDENT/CEO 40.0 0 X 194072 0 29479 Melissa Mirales VP - Marketing & Development 40.0 0 X 40827 0 4412 Cynthia Diaz deLeon PSYCHOLOGIST 40.0 0 X 115734 0 4394 Joe Nerios DIRECTOR- NURSING SERVICES 40.0 0 X 136243 0 2239 Poul Poulsen DIRECTOR OP SERVICES 40.0 0 X 104814 0 10838 Rick Edwards DIRECTOR IP PROGRAMS 40.0 0 X 115606 0 13291 Will Guy DIRECTOR OP TRAINING 40.0 0 X 105700 0 2002 1640231 0 115344 16 false true false Southwest Psychiatric Physicians 8535 Tom Slick Dr San Antonio TX 78229 Physician Services 1623141 Prince Food 11001 Wilcrest Dr Suite 200 Houston TX 77099 Food services 766320 Alamo City Contracting LLC 5265 NFM 3465 Adkins TX 78101 Site Preparation 682462 Netsmart Technologies Inc POBox 823519 Philadelphia PA 19182 Healthcare 463987 FA Nunnelly Company 922 N PanAm Expy San Antonio TX 78208 Construction 402095 13 3984527 100000 3984527 Patient Service Fees 621110 25723904 25723904 Physician Office Rental 531120 209597 209597 Support Personnel/Service 900099 227901 227901 0 0 0 0 26161402 361193 361193 0 0 0 0 Lunch Tickets 721210 35486 35486 Medical Records 561000 10778 10778 Insurance Proceeds 900099 32467 32467 46913 46913 0 0 125644 30632766 26219093 0 429146 X 1324240 1324240 14824004 14334286 484784 4934 289501 267512 21468 521 1468330 1352510 113187 2633 1162687 1045298 117022 367 55769 55769 93471 27438 65991 42 112071 112071 1523 1523 22274 17354 4886 34 3857097 3782407 70679 4011 95072 11712 54610 28750 226662 149208 77183 271 44375 39061 5238 76 1521671 1319078 200163 2430 11672 7388 2672 1612 14752 13003 1724 25 672031 591555 79324 1152 1685030 1483248 198894 2888 407993 359136 48158 699 Program Supplies 1330909 1278816 51357 736 Equipment Expenses 194031 171873 21964 194 Bad Debt Expense 1280377 1134158 144939 1280 8509 5081 3420 8 30704051 27390122 3261266 52663 4671434 831876 7465565 316587 1233422 2068468 2374701 0 0 1824199 31663 87087 87086 37526 49867 39721763 19841375 20410412 19880388 6022783 6818326 0 0 182982 152106 2048108 3007131 37669586 41932131 5762533 8493667 104825 536273 3954050 3638205 0 8414102 8219730 99983 1011174 18335493 21899049 X 17515229 16129757 1818864 3903325 19334093 20033082 37669586 41932131 X -71285 668208 102066 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1523 0 1523 0 27388599 0 27390122 0 1000000 0 250000 0 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 0 497 0 1523 2020 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 34158412 16038477 18119935 6744 6744 3714766 2937465 777301 1841841 865433 976408 19880388 INVESTMENT IN SPP 1051972 BENEFICIAL INTEREST IN PERPETUAL TRUST 1057125 INT. RATE PROTECTION AGREEMENT 41077 ROU Operating Lease 856957 3007131 ROU OPERATING LEASE LIABILITY 861633 DUE TO AFFILIATE 149541 1011174 28193952 668208 204050 -642926 229332 27964620 2668146 2668146 30632766 29627724 204050 0 204050 29423674 1280377 1280377 30704051 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTIONS - 565908 CHANGE IN INTEREST IN NET ASSETS OF SPP - 71543 BAD DEBT EXPENSE - -1280377 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements CONTRIBUTIONS IN NET ASSETS WITH DONOR RESTRICTIONS - 2668146 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSE - 1280377 true true X true X true X 500 true true false true true 313113 313113 0.0106 16365184 16861215 0 0.0 1394554 916359 478195 0.0163 0 0 18072851 17777574 791308 0.0269 844000 844000 0.0287 0 0.0 0 0.0 0 0.0 204050 204050 0.0069 0 0 1048050 0 1048050 0.0356 0 0 19120901 17777574 1839358 0.0625 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 1280377 X true true 1 1 CLARITY CHILD GUIDANCE CENTER 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 WWW.CLARITYCGC.ORG 000737 X X X CLARITY CHILD GUIDANCE CENTER 1 false false true X X X X X X X X X 21 true false false true X https://www.claritycgc.org/COMMUNITY-REPORTS/ X true 21 true HTTPS://WWW.CLARITYCGC.ORG/COMMUNITY-REPORTS/ false true X 100.0 500.0 X X X true true X X X true X HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/ X HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/ X HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CLARITY CHILD GUIDANCE CENTER. CLARITY CHILD GUIDANCE CENTER (CCGC) CONDUCTED MULTIPLE MEETINGS AND INTERVIEWS WITH KEY STAKEHOLDERS IN THE COMMUNITY. THE PROCESS INVOLVED COLLECTION AND ANALYSIS OF DATA SPECIFICALLY RELATED TO CHILDREN'S MENTAL HEALTH, AS CCGC IS A UNIQUE, SPECIALTY CARE HOSPITAL SERVING THE NEEDS OF CHILDREN WITH SEVERE MENTAL ILLNESSES, REPRESENTING AGES 3 TO 17. ADDITIONALLY THE PROCESS ALSO INVOLVED REVIEW OF REPORTS INCLUDING EXTENSIVE INTERVIEWS WITH STAKEHOLDERS THAT HAVE SPECIFIC KNOWLEDGE AND/OR RESPONSIBILITY TO THE WELL-BEING OF OUR COMMUNITY IN RELATION TO MENTAL HEALTH CARE. COMMUNITY INPUT WAS PROVIDED THROUGH THE REVIEW OF RECENT STAKEHOLDERS AND COMMUNITY STUDIES SHOWING THE NEEDS, CHALLENGES, AND OPPORTUNITIES IN OUR REGION. IT INCLUDES REPORTS FROM THE MEADOWS MENTAL HEALTH POLICY INSTITUTE (2019) AND WORK FROM THE CENTER FOR YOUNG MINDS AT THE SAN ANTONIO ECUMENICAL CENTER. THE CENTER FOR YOUNG MINDS ALSO CONDUCTED A SERIES OF WORKSHOPS WITH NEARLY 90 COMMUNITY LEADERS FROM 45 ORGANIZATIONS IN ORDER TO DEVELOP AND PRIORITIZE STRATEGIES TO IMPROVE YOUTH MENTAL HEALTH IN OUR COMMUNITY. THE GROUP IDENTIFIED 5 KEY INDICATORS THAT MATTERED IN DETERMINING WAYS TO MEASURE IMPROVEMENT. COMMUNITY INPUT WAS COLLECTED FROM THREE MAIN SOURCES: THE BEXAR COUNTY CHILDREN AND YOUTH RAPID BEHAVIORAL HEALTH ASSESSMENT PRODUCED BY THE MEADOWS MENTAL HEALTH POLICY INSTITUTE; YOUTH VOICES - REPORT ON BEHAVIORAL HEALTH FROM THE CENTER FOR YOUNG MINDS AT THE ECUMENICAL CENTER IN SAN ANTONIO (NOVEMBER 2020); & THE CENTER FOR YOUNG MINDS' SURVEY AND REPORT OF PRIORITIZING FACTORS & STRATEGIES CONDUCTED IN 2020. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CLARITY CHILD GUIDANCE CENTER. FROM THE LAST PUBLISHED CHNA, WE HAVE IMPLEMENTED THE FOLLOWING INITIATIVES: OPENING OF A CRISIS ASSESSMENT CENTER ON OUR MAIN CAMPUS WHICH INCLUDES SIX OBSERVATION BEDS FOR EXTENDED ASSESSMENTS AND CRISIS STABILIZATION (NOVEMBER 2015) AND 24-HOUR STAFFING; IMPLEMENTATION OF A TELEPSYCHIATRY RELATIONSHIP WITH A HOUSTON-BASED ORGANIZATION TO ADD ADDITIONAL PSYCHIATRY SUPPORT TO OUR ASSESSMENT AND ADMITTING PROCESSES; WE ALSO ADDED SEVERAL NURSE PRACTITIONERS TO CONTINUE ADDRESSING THE SEVERE PSYCHIATRIST SHORTAGE. CLARITY CHILD GUIDANCE CENTER'S LEADERSHIP EVALUATED THE OPPORTUNITIES REVEALED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND WITH THE GUIDANCE OF THE BOARD OF DIRECTORS, DEVELOPED A STRATEGIC PLAN TO ADDRESS GAPS IN THE COMMUNITY. ITEMS PRIORITIZED WERE THE FOLLOWING: 1. CONTINUE INVESTING IN DEVELOPMENT TO ENABLE SYSTEMIC AND REPEATABLE FUNDING STREAMS TO OUR EXISTING BUSINESS MODEL OF BILLING INSURANCE COMPANIES. 2. EXPLORE METHODS TO INCREASE ACCESS TO CARE, KNOWING THAT A SEVERE SHORTAGE OF PSYCHIATRISTS AND OTHER MENTAL HEALTH PROFESSIONALS HAS BEEN AN ONGOING SOCIETAL ISSUE. 3. EXPAND LEVELS OF CARE AND TYPES OF CARE IN THE COMMUNITY WITH FAMILY-FRIENDLY ACCESS POINTS, SUCH AS THROUGH THE CONTACT CENTER OR THE FIRST STEP PROGRAM. 4. DEEPEN THE RELATIONSHIPS AND OUTREACH RELATED TO ONE IN FIVE MINDS, CLARITY CGC'S SIGNATURE EDUCATION AND AWARENESS CAMPAIGN, AND THROUGH PROFESSIONAL TRAINING EVENTS TO END THE STIGMA OF MENTAL ILLNESS. 5. CONTINUE DEVELOPING THE NEXT STEP CENTER TO PROMOTE MORE EFFECTIVE UTILIZATION OF HEALTH SERVICES FOR CHILDREN AT HIGH RISK. 6. EXPLORE THE NEED FOR ADDITIONAL INPATIENT BEDS, SPECIFICALLY FOR YOUTH WITH SERIOUS SYMPTOMS REQUIRING INTENSIVE INTERVENTION. 0 Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE -MEDICAL INDIGENCY -INSURANCE STATUS -UNDERINSURANCE STATUS Schedule H, Part I, Line 7 COST METHODOLOGY: THE AMOUNTS REPORTED ON THE TABLE ON PART I, LINE 7 WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM COMPLETING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM THE IRS INSTRUCTIONS. COSTS COMPUTED ON WORKSHEETS 4 AND 8 WERE DIRECT COSTS BOOKED TO THE HOSPITAL'S INCOME STATEMENT AND SUPPLEMENTAL COST REPORT SCHEDULES. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 1280377 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE AND THE ASSOCIATED ACCOUNTS RECEIVABLE ALLOWANCE AMOUNTS ARE VALUED AT ONE PERCENT OF NET PATIENT REVENUE (GROSS REVENUE-CONTRACTUAL ALLOWANCES) BEFORE CHARITY CARE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NOT APPLICABLE DUE TO ADOPTION OF ASC TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THERE IS LANGUAGE IN THE FINANCIAL ASSISTANCE POLICY THAT STATES THE HOSPITAL DOES NOT CONDUCT OR PERMIT COLLECTION AGENCIES TO CONDUCT EXTRAORDINARY COLLECTION ACTIONS (ECAS), AS DEFINED UNDER INTERNAL REVENUE CODE SECTION 501(R), AGAINST ANY INDIVIDUAL BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR THE FINANCIAL ASSISTANCE PROGRAM. Schedule H, Part V, Section B, Line 16a FAP website - CLARITY CHILD GUIDANCE CENTER: Line 16a URL: HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/; Schedule H, Part V, Section B, Line 16b FAP Application website - CLARITY CHILD GUIDANCE CENTER: Line 16b URL: HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CLARITY CHILD GUIDANCE CENTER: Line 16c URL: HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/; Schedule H, Part VI, Line 2 Needs assessment PERIODICALLY, A SURVEY IS SENT TO AREA PROVIDERS, CLIENTS AND ORGANIZATIONS ASKING WHAT NEEDS ARE NOT BEING ADDRESSED IN THEIR AREAS OF PRACTICE. INFORMATION IS ALSO USED FROM THE HEALTH COLLABORATIVE STATE OF THE COUNTY REPORT, METRO HEALTH REPORTS AND THE TEXAS SUICIDE PREVENTION REPORTS. MARKET RESEARCH IS CURRENTLY BEING DONE TO TARGET HIGH NEED AREAS WITHIN THE CITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance EVERY FAMILY IS ASSIGNED A CASE MANAGER THAT WORKS WITH THE FAMILY TO DETERMINE ANY RESOURCES FOR WHICH THEY MAY BE ELIGIBLE. THE CASE WORKER THEN WORKS WITH THE FAMILY TO COMPLETE ANY PAPERWORK BEFORE DISCHARGE. ADDITIONALLY, ALL FAMILIES ARE OFFERED SLIDING SCALE SERVICE FEES IF THEY QUALIFY UNDER THE CURRENT FEDERAL POVERTY GUIDELINES. Schedule H, Part VI, Line 4 Community information THE CENTER SERVES SAN ANTONIO LOCATED IN BEXAR COUNTY AND THE SURROUNDING COUNTIES OF SEGUIN, LAREDO, DEL RIO, AUSTIN AND VICTORIA. THE CHILDREN'S POPULATION IN BEXAR COUNTY IS ABOUT 500,000. THE MEDIAN FAMILY INCOME IN THE COUNTY IS $52,353 WITH 22% OF HOUSEHOLDS UNDER THE POVERTY RATE. Schedule H, Part VI, Line 5 Promotion of community health CLARITY CHILD GUIDANCE CENTER IS DEVOTED TO CARING FOR CHILDREN AGES 3-17 WITH MENTAL, EMOTIONAL AND BEHAVIORAL (MEB) DISORDERS. OUR CONTINUUM OF CARE RESULTED IN 12,327 OUTPATIENT VISITS AND 24,980 HOSPITAL DAYS (19,477 INPATIENT & 5,503 PARTIAL HOSPITALIZATION PROGRAM) OF CARE FOR THE CHILDREN OF OUR COMMUNITY IN FISCAL YEAR 2023. THOUSANDS OF CHILDREN RECEIVED SERVICES AND AS A NONPROFIT, THEY WERE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR THE TREATMENT PROVIDED. FY 2023 WAS MARKED BY THE COVID CRISIS WHICH CAUSED MAJOR CHANGES TO OUR OPERATIONS. HERE ARE SOME OF THE ACCOMPLISHMENTS CLARITY PERFORMED: - OPTIMIZED PATIENT ACCESS AND CARE COORDINATION PROCESSES LEADING TO SIGNIFICANT INCREASED CUSTOMER SATISFACTION, IMPROVED ACCESS AND BETTER BED UTILIZATION RATES. CONTINUATION OF ALL INPATIENT AND 24/7 CRISIS SERVICES WITH SAFETY PRECAUTIONS - EXPANDED USE OF TELEHEALTH FOR ALL OUTPATIENT SERVICES - CONTINUED REMOTE WORK FOR SELECT ADMINISTRATION STAFF - PUBLISHED CRISIS RESPONSE CONTENT FOR PARENTS ON WEBSITE CLARITYCGC.ORG AND 1IN5MINDS.ORG - DEPLOYED PARENTS CHAT WEBINARS AND VIRTUAL STRONG MINDS HAPPY HEART EVENTS OVERALL, CLARITY CGC STAFF ORGANIZED AND/OR ATTENDED OVER 200 IN-PERSON AND VIRTUAL MEETINGS AND PRESENTATIONS MAKING OVER 8,000 PROFESSIONAL OR FAMILY CONTACTS WITH INFORMATION ABOUT CLARITY CGC OR CHILDREN'S MENTAL HEALTH. WE ALSO ATTRACTED OVER 120,000 UNIQUE USERS ON OUR EDUCATIONAL WEBSITES AND GOT OVER 200,000 VIEWS AND 1.3 MILLION MINUTES WATCHED ON OUR YOUTUBE CHANNEL. Schedule H, Part VI, Line 6 Affiliated health care system CLARITY IS AN INDEPENDENT NOT-FOR-PROFIT MENTAL HEALTH AGENCY. THE ORGANIZATION DOES HAVE AN AFFILIATION WITH THE UT HEALTH SCIENCE CENTER SCHOOL OF MEDICINE THROUGH THE PROVISION OF A TEACHING ENVIRONMENT FOR MEDICAL RESIDENTS, PSYCHOLOGY INTERNS AND NURSING STUDENTS FROM SEVERAL AREA NURSING SCHOOLS. Schedule H, Part VI, Line 7 State filing of community benefit report TX X X X false false false false false false false false false Jessica Knudsen PRESIDENT/CEO 193937 0 0 0 135 0 2001 0 27477 0 223551 0 0 0 Derrick Flowers VP FINANCE 179761 0 0 0 387 0 2679 0 803 0 183629 0 0 0 Gina Massey VP HUMAN RESOURCES 148194 0 0 0 594 0 2190 0 4903 0 155881 0 0 0 Geoffrey Gentry VP CLINICAL SERVICES 168839 0 0 0 743 0 2575 0 11474 0 183630 0 0 0 Chris Bryan VP INFORMATION TECH 153630 0 0 0 387 0 2277 0 1883 0 158177 0 0 0 Carol Carver VP PATIENT SERVICES 173957 0 0 0 743 0 2682 0 17225 0 194608 0 0 0 A SPLENDORA CULTURAL 760664368 XXXXXXXXX 2014-10-28 8000000 CAMPUS EXPANSION OF FACILITIES false false false A 4361795 8000000 160000 7840000 2015 false false true true A false false true true false 0.0 false false false A false false false true true true FROST BANK 15.0 false false false false false A false Schedule K, Part IV, Line 2c ARBITRAGE: IN FISCAL YEAR 2023, THERE WAS NO FORMAL REBATE COMPUTATION COMPLETED AS THERE WAS NO ARBITRAGE ON THE BOND. Schedule K, Part III, Line 9 POLICIES S: THE HOSPITAL IS IN THE PROCESS OF CREATING WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF CODE SECTION 148. REGULATIONS SECTION 1.141-12, REGULATIONS SECTION 1.145-2, AND TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE IDENTIFIED AND CORRECTED IN A TIMELY MANNER Schedule K, Part V POLICIES S: THE HOSPITAL IS IN THE PROCESS OF CREATING WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF CODE SECTION 148. REGULATIONS SECTION 1.141-12, REGULATIONS SECTION 1.145-2, AND TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE IDENTIFIED AND CORRECTED IN A TIMELY MANNER Schedule K, Part IV, Line 7 POLICIES S: THE HOSPITAL IS IN THE PROCESS OF CREATING WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF CODE SECTION 148. REGULATIONS SECTION 1.141-12, REGULATIONS SECTION 1.145-2, AND TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE IDENTIFIED AND CORRECTED IN A TIMELY MANNER X GROUND LEASE 1 100000 Other - FMV OF LAND LEASE false true false Schedule M, Part I, Line 25 NONCASH CONTRIBUTION OF GROUND LEASE: CLARITY CHILD GUIDANCE CENTER IS LOCATED ON LAND OWNED BY SAN ANTONIO MEDICAL FOUNDATION. THE FOUNDATION HAS PROVIDED A 50-YEAR LEASE, WITH A 20-YEAR OPTIONAL EXTENSION, TO THE CENTER AT NO COST. THE FAIR MARKET VALUE OF THE LEASE IS $100,000 PER YEAR. Schedule M, Part I COLUMN B NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THE AMOUNT REPORTED IN THIS COLUMN IS THE NUMBER OF CONTRIBUTIONS RECEIVED. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, CHAIR-ELECT, VICE CHAIR, SECRETARY, FINANCE COMMITTEE CHAIR, AND THE IMMEDIATE PAST CHAIR OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE POWER TO EXERCISE ALL OF THE POWERS OF THE BOARD BETWEEN BOARD MEETINGS WITH SOME EXCEPTIONS. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED AT THE NEXT REGULAR BOARD MEETING. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF FINANCIAL STATEMENTS. AN ELECTRONIC COPY OF THE FORM 990 IS PROVIDED TO THE VP FINANCE AND THE FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE CONFLICT OF INTEREST POLICY IS ADMINISTERED UNDER THE DIRECTION OF THE VICE PRESIDENT OF CORPORATE COMPLIANCE. EMPLOYEES ARE OBLIGATED TO DISCLOSE ANY POTENTIAL CONFLICTS AS DESCRIBED IN THE POLICY AS THEY ARISE. THE VICE PRESIDENT OF CORPORATE COMPLIANCE INVESTIGATES AND RESOLVES ANY CONCERNS. IN THE EVENT OF A CONFLICT, THE BOARD MEMBER ABSTAINS FROM VOTING ON ANY MATTERS RELATED TO THE CONFLICT. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE CEO'S PERFORMANCE AND COMPENSATION IS REVIEWED BY THE COMPENSATION COMMITTEE USING FEEDBACK FROM OTHER KEY EMPLOYEES AND LOCAL AND NATIONAL SALARY SURVEYS INCLUDING THOSE FROM TEXAS HOSPITAL ASSOCIATION, WERLING AND ASSOCIATES INC., AND THE UNITED WAY. CCGC ALSO USES THE SAN ANTONIO NFP WAGE AND BENEFITS SURVEY DURING THEIR REVIEW. THE MOST RECENT REVIEW WAS CONDUCTED IN NOVEMBER OF 2022 AND DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES. Form 990, Part VI, Line 15b Process to establish compensation of other employees OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED FOR BOTH PERFORMANCE AND COMPENSATION BASED UPON THE NORMAL PROCESS OF MEASURING AGAINST JOB DESCRIPTION AND SPECIFIC OBJECTIVES. COMPETITIVE SALARY SURVEYS ARE ALSO USED FOR COMPARISON ON A LOCAL AND NATIONAL BASIS. REVIEWS ARE ONGOING AND COMPLETED ON AN ANNUAL BASIS. THE REVIEWS ARE DOCUMENTED IN THE EMPLOYEE HR FILES. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 46913, Related or Exempt Function Revenue: 46913, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees PURCHASED CONTRACT SERVICES - Total Expense: 3857097, Program Service Expense: 3782407, Management and General Expenses: 70679, Fundraising Expenses: 4011; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTEREST IN NET ASSETS OF SPP - 71543; CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS - 30523; SOUTHWEST PSYCHIATRIC PHYSICIANS 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 742706271 PSYCH TRMT TX 501(c)(3) 3 CCGC true CHARITABLE TRUST (2) TRUST TX NA Trust true false false true false false false false false true false true true false true true true true true SOUTHWEST PSYCHIATRIC PHYSICIANS P 1722261 FMV SOUTHWEST PSYCHIATRIC PHYSICIANS Q 185505 FMV Southwest Psychiatric Physicians A 42396 FMV