2023-01-17T15:14:27-06:00 2022-06-30 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2021-07-01 741153067 Clarity Child Guidance Center % DERRICK FLOWERS CLAR 2106160300 8535 Tom Slick Drive San Antonio TX 782293363 JESSICA KNUDSEN PRESIDENT AND CEO 2106160300 2023-05-15 true Jessica Knudsen 999009999 Jeanette Verrelli P00742631 9727028262 2 2021 2023-03-07 01:45:13Z JESSICA KNUDSEN 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 31779653 false X WWW.CLARITYCGC.ORG X 1886 TX TO PROVIDE TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL AND/OR PSYCHIATRIC DISORDERS. 20 20 372 21 0 0 4271424 2383949 24753781 28704010 -6771 262068 106236 257657 29124670 31607684 0 0 0 0 15903867 17486971 0 0 11635 10216036 10420099 26119903 27907070 3004767 3700614 35411906 37669586 18796916 18335493 16614990 19334093 X 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 24658349 28784609 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; THERAPUETIC RECREATION; BEHAVIOR MANAGEMENT; HIGHLY STRUCTURED ENVIRONMENT; AND EDUCATIONAL PROGRAMS. MAINTAINED A LOW STAFF TO PATIENT RATIO OF 1:3, LOGGED 19,702 INPATIENT DAYS, 4,541 PARTIAL HOSPITALIZATION DAYS, 13,689 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 $20,012,027 FOR INPATIENT CARE, $1,578,305 FOR THE PARTIAL HOSPITALIZATION PROGRAM, AND $967,414 FOR OUTPATIENT CARE. 24658349 true true false true false 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 51 0 true 372 true false false false false false false false false false false false false X 20 20 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 X JESSICA KNUDSEN PRESIDENT/CEO 40.0 0.0 X 181860 0 33361 CAROL CARVER VP PATIENT SERVICES 40.0 0.0 X 171018 0 21223 GEOFFREY GENTRY VP CLINICAL SERVICES 40.0 0.0 X 166419 0 14257 DERRICK FLOWERS VP FINANCE 40.0 0.0 X 176890 0 3482 CHRIS BRYAN VP INFORMATION TECH 40.0 0.0 X 143431 0 22829 GINA MASSEY VP HUMAN RESOURCES 40.0 0.0 X 145855 0 7496 JOSHUA ESSERY DIRECTOR OP SERVICES 40.0 0.0 X 119393 0 29978 SUSANA JUAREZ-LEAL NURSE PRACTITIONER 40.0 0.0 X 135245 0 4547 CHARMAINE MOREHEAD VP MARKETING/DEVELOPMENT 40.0 0.0 X 135743 0 2031 JOE L NERIOS DIRECTOR- NURSING SERVICES 40.0 0.0 X 131979 0 2239 ALICE MARTINEZ DIRECTOR PATIENT ACCESS 40.0 0.0 X 114885 0 3104 CYNTHIA DIAZ DELEON PSYCHOLOGIST 40.0 0.0 X 111426 0 4365 TONY LOBASSO CHAIR ELECT 1.0 0.0 X X 0 0 0 ANGELA HOLLIDAY DIRECTOR 1.0 0.0 X 0 0 0 REED HURLEY VICE CHAIR & TREASURER 1.0 0.0 X X 0 0 0 JOANNA WEIDMAN CHAIR 1.0 0.0 X X 0 0 0 SHANNA RAMIREZ DIRECTOR 1.0 0.0 X 0 0 0 VANESSA LACOSS HURD DIRECTOR 1.0 0.0 X 0 0 0 RACHEL BELMARES DIRECTOR 1.0 0.0 X 0 0 0 JOHN SEYBOLD IMMEDIATE PAST CHAIR 1.0 0.0 X X 0 0 0 BEN SCOTT DIRECTOR 1.0 0.0 X 0 0 0 ASHLEY DAHLBERG DIRECTOR 1.0 0.0 X 0 0 0 JUSTICE LUZ ELENA CHAPA DIRECTOR 1.0 0.0 X 0 0 0 PEGGY DEMING DIRECTOR 1.0 0.0 X 0 0 0 SHAREN DENSON SECRETARY 1.0 0.0 X X 0 0 0 TAMMY FULGHAM DIRECTOR 1.0 0.0 X 0 0 0 ADELE GLENN DIRECTOR 1.0 0.0 X 0 0 0 AMI GORDON DIRECTOR 1.0 0.0 X 0 0 0 ROBBIE HARRIS DIRECTOR 1.0 0.0 X 0 0 0 CHARLES MCLANE DIRECTOR 1.0 0.0 X 0 0 0 TARA SHELTON DIRECTOR 1.0 0.0 X 0 0 0 BRIAN ZIMMERMAN DIRECTOR 1.0 0.0 X 0 0 0 1734144 0 148912 13 false true false ALAMO CITY CONTRACTING LLC 5265 N FM 3465 ADKINS TX 78101 SITE PREPARATION 446040 NETSMART TECHNOLOGIES INC PO BOX 823519 PHILADELPHIA PA 19182 HEALTHCARE 358132 MST HVAC LLC 8845 FM 1976 CONVERSE TX 78109 AC SERVICES 192784 JACKSON WALKER LLP PO BOX 130989 DALLAS TX 75313 LEGAL SERVICES 119332 SOUTHWEST PSYCHIATRIC PHYSICIANS 8535 TOM SLICK DR SAN ANTONIO TX 78229 PHYSICIAN SERVICES 1553770 6 432019 1951930 100000 2383949 Patient Service Fees 621110 28329765 28329765 Physician Office Rental 531120 200338 200338 Support Personnel/Service 900099 173907 173907 28704010 184371 184371 0 0 0 0 0 249666 171969 77697 77697 77697 0 0 0 0 0 0 0 0 0 Lunch Tickets 721210 26101 26101 Medical Records 561000 4336 4336 INSURANCE PROCEEDS 900099 150957 150957 76263 76263 257657 31607684 28784609 439126 X 0 0 0 0 1225896 1225896 0 13775889 13240863 532120 2906 124310 124075 94 141 1238434 1175835 61316 1283 1122442 1021896 100340 206 43829 2494 41333 2 150882 32535 118319 28 108432 108432 0 0 17452 13206 4232 14 4422262 4101799 317657 2806 132335 5929 126406 220694 147770 72789 135 68844 60985 7792 67 0 992743 858263 133616 864 12600 10640 1951 9 0 3279 2908 368 3 600143 528999 70565 579 0 1691196 1498139 191417 1640 374781 331998 42419 364 EQUIPMENT EXPENSES 121057 107232 13704 121 PROGRAM SUPPLIES 1226305 1186034 40036 235 BAD DEBT EXPENSE 232189 205673 26284 232 . 0 1076 1076 27907070 24658349 3237086 11635 358499 4671434 1474 0 496713 316587 1787663 2068468 0 0 0 0 2090388 1824199 75116 87087 44897 37526 38520145 18109733 21294487 20410412 6993927 6022783 0 0 0 0 213858 182982 2054884 2048108 35411906 37669586 4380019 5775642 0 0 567264 91716 4490250 3954050 0 0 0 0 9258364 8414102 0 0 101019 99983 18796916 18335493 X 14592425 17515229 2022565 1818864 16614990 19334093 35411906 37669586 X 3700614 -974735 -6776 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 24658349 24658349 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 1947 0 497 0 2444 250000 250000 250000 250000 1000000 1500000 617 0 617 false false 33370443 14594322 18776121 3666071 2718165 947906 1483631 797246 686385 20410412 Investment in SPP 980429 Beneficial Interest in Perpetu 1026602 INT. RATE PROTECTION AGREEMENT 41077 2048108 0 Due to Affiliate 99983 99983 30649576 -974735 85521 338626 -550588 31200164 407520 407520 31607684 27760402 85521 85521 27674881 232189 232189 27907070 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 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: NET ASSETS RELEASED FROM RESTRICTIONS $385,914 CHANGE IN INTEREST IN NET ASSETS OF SPP 148,039 CHANGE IN FAIR VALUE OF INTEREST RATE PROTECTION AGMT 36,862 BAD DEBT EXPENSE (232,189) ----------- TOTAL $338,626 SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: CONTRIBUTIONS IN NET ASSETS WITH DONOR RESTRICTIONS $407,520 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $232,189 true true X true X true X 500. true true false true true 263432 263432 0.00950 11396877 13196593 3273240 3006290 266950 0.00960 14933549 16202883 530382 0.01910 900000 900000 0.03250 85521 85521 0.00310 985521 985521 0.03560 15919070 16202883 1515903 0.05470 true 232189 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 SEE PART V, SECTION C X true 21 true SEE PART V, SECTION C false true X 100 500. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C 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 PERSONS WHO REPRESENT THE COMMUNITY: 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 7A & 10A CHNA & IMPLEMENTATION STRATEGY AVAILABLE TO THE PUBLIC: THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING WEBSITE: https://www.claritycgc.org/community-reports/ SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: 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. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16C FAP DOCUMENTS AVAILABLE TO THE PUBLIC: THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE IN ENGLISH AND SPANISH ON THE FOLLOWING WEBSITE: HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/ 1 CLARITY CHILD GUIDANCE CLINIC - WH 10431 STATE HIGHWAY 151 SAN ANTONIO TX 78251 OUTPATIENT BEHAVIOR HEALTH CLINIC SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: 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, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASC TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION PRACTICES: 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 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 13,689 OUTPATIENT VISITS AND 24,243 HOSPITAL DAYS (19,702 INPATIENT & 4,541 PARTIAL HOSPITALIZATION PROGRAM) OF CARE FOR THE CHILDREN OF OUR COMMUNITY IN FISCAL YEAR 2022. THOUSANDS OF CHILDREN RECEIVED SERVICES AND AS A NONPROFIT, THEY WERE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR THE TREATMENT PROVIDED. FY 2022 WAS MARKED BY THE COVID CRISIS WHICH CAUSED MAJOR CHANGES TO OUR OPERATIONS. HERE ARE SOME OF THE ACCOMPLISHMENTS CLARITY PERFORMED: ENHANCED THE OPERATION OF 8 PSYCHIATRIC EMERGENCY SERVICES BEDS IN CLARITY CGC'S OBSERVATION UNIT, IN PARTNERSHIP WITH UNIVERSITY HEALTH SYSTEM AND SOUTHWEST TEXAS REGIONAL ADVISORY COUNCIL'S 24-HOUR REGIONAL COMMUNICATION CENTER (STRAC-MEDCOM) - 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: TEXAS SCHEDULE H, PART I, LINE 7 COLUMN F BAD DEBT EXCLUDED IN CALCULATION OF PATIENT CARE COST TO CHARGES: BAD DEBT EXPENSE IN THE AMOUNT OF $232,189 WAS INCLUDED ON FORM 990, PART IX, LINE 25 IN TOTAL EXPENSES. HOWEVER THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES. 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. X X X false false false false false false false false false JESSICA KNUDSEN PRESIDENT/CEO 181725 0 0 0 135 0 2001 0 31360 0 215221 0 0 0 DERRICK FLOWERS VP FINANCE 176683 0 0 0 207 0 2679 0 803 0 180372 0 0 0 GINA MASSEY VP HUMAN RESOURCES 145261 0 0 0 594 0 2190 0 5306 0 153351 0 0 0 GEOFFREY GENTRY VP CLINICAL SERVICES 165676 0 0 0 743 0 2575 0 11682 0 180676 0 0 0 CHRIS BRYAN VP INFORMATION TECH 143044 0 0 0 387 0 2277 0 20552 0 166260 0 0 0 CAROL CARVER VP PATIENT SERVICES 170424 0 0 0 594 0 2682 0 18541 0 192241 0 0 0 A SPLENDORA CULTURAL 760664368 XXXXXXXXX 2014-10-28 8000000 CAMPUS EXPANSION OF FACILITIES false false false A 4045950 0 8000000 0 0 0 160000 0 0 7840000 0 0 2015 false false true true A false false true true false 0 false false false false A false false false true true true FROST BANK 15. false false false 0 false false A false SCHEDULE K, PART III, LINE 9, PART VI, LINE 7 & PART V POLICIES & PROCEDURES: 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 2C ARBITRAGE: IN FISCAL YEAR 2022, THERE WAS NO FORMAL REBATE COMPUTATION COMPLETED AS THERE WAS NO ARBITRAGE ON THE BOND. X GROUND LEASE 1 100000 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, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: 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, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH 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, SECTION B, LINE 15A REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: 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 2021 AND DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15B REVIEW OF OTHER OFFICER AND KEY EMPLOYEE COMPENSATION: 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, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 1A DELEGATION OF AUTHORITY: 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS: CHANGE IN FV OF INTEREST RATE PROTECTION AGREEMENTS $36,862 CHANGE IN INTEREST IN NET ASSETS OF SPP 148,039 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS (191,677) ---------- TOTAL $(6,776) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED CONTRACT SERVICES TOTAL FEES:4422262 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 A 42416 FMV SOUTHWEST PSYCHIATRIC PHYSICIANS P 1616102 FMV SOUTHWEST PSYCHIATRIC PHYSICIANS Q 173907 FMV