2022-03-02T14:22:20-06:00 2021-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2020-07-01 741153067 Clarity Child Guidance Center % DERRICK FLOWERS CLAR 2106160300 8535 Tom Slick Drive San Antonio TX 782293363 JESSICA KNUDSEN PRESIDENT AND CEO 2106160300 2022-05-16 true Jessica Knudsen 999009999 Jeanette Verrelli P00742631 9727028262 2 2020 2022-09-23 18:48:47Z JESSICA KNUDSEN 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 30943155 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 19 385 15 0 0 5578705 4271424 22583662 24753781 2064548 -6771 -85358 106236 30141557 29124670 604000 0 0 0 16498807 15903867 199 0 1050051 11241879 10216036 28344885 26119903 1796672 3004767 36307061 35411906 24086190 18796916 12220871 16614990 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 23222198 24867670 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 19,215 INPATIENT DAYS, 3,685 PARTIAL HOSPITALIZATION DAYS, 19,807 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 $18,773,301 FOR INPATIENT CARE, $1,279,413 FOR THE PARTIAL HOSPITALIZATION PROGRAM, AND $1,286,887 FOR OUTPATIENT CARE. 23222198 true true false true false false false false false false true false false true true false false true false false false false false false true 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 58 0 true 385 true false false false false false false false false false false false false X 19 19 false false true 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 169576 0 30198 CAROL CARVER VP PATIENT SERVICES 40.0 0.0 X 165629 0 15384 DERRICK FLOWERS VP FINANCE 40.0 0.0 X 170494 0 803 GEOFFREY GENTRY VP CLINICAL SERVICES 40.0 0.0 X 163040 0 803 CHRIS BRYAN VP INFORMATION TECH 40.0 0.0 X 146759 0 2035 GINA MASSEY VP HUMAN RESOURCES 40.0 0.0 X 141103 0 4589 JOSHUA ESSERY DIRECTOR OP SERVICES 40.0 0.0 X 115757 0 25520 SUSANA JUAREZ-LEAL NURSE PRACTITIONER 40.0 0.0 X 135756 0 2448 JOE L NERIOS DIRECTOR- NURSING SERVICES 40.0 0.0 X 130689 0 2535 CHARMAINE MOREHEAD VP MARKETING/DEVELOPMENT 40.0 0.0 X 132108 0 674 RICK EDWARDS DIRECTOR IP PROGRAMS 40.0 0.0 X 109119 0 11467 ALICE MARTINEZ DIRECTOR PATIENT ACCESS 40.0 0.0 X 115292 0 1517 TAYLOR S BOONE DIRECTOR 1.0 0.0 X 0 0 0 JUSTICE LUZ ELENA CHAPA DIRECTOR 1.0 0.0 X 0 0 0 Ashley Senary Dahlberg VICE CHAIR 1.0 0.0 X X 0 0 0 PEGGY DEMING DIRECTOR 1.0 0.0 X 0 0 0 LT COLONEL SHAREN DENSON DIRECTOR 1.0 0.0 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 ANGELA K HOLLIDAY DIRECTOR 1.0 0.0 X 0 0 0 Reed Hurley DIRECTOR 1.0 0.0 X 0 0 0 CRYSTAL KOHANKE DIRECTOR 1.0 0.0 X 0 0 0 TONY LOBASSO FC CHAIR 1.0 0.0 X 0 0 0 CHARLES MCLANE DIRECTOR 1.0 0.0 X 0 0 0 SHANNA RAMIREZ DIRECTOR 1.0 0.0 X 0 0 0 BENJAMIN SCOTT IMMEDIATE PAST CHAIR 1.0 0.0 X X 0 0 0 JOHN SEYBOLD CHAIR 1.0 0.0 X X 0 0 0 TARA SHELTON DIRECTOR 1.0 0.0 X 0 0 0 JOANNA WEIDMANN CHAIR ELECT 1.0 0.0 X X 0 0 0 BRIAN ZIMMERMAN SECRETARY 1.0 0.0 X X 0 0 0 1695322 0 97973 12 false true false PRINCE FOOD SYSTEMS 11001 WILCREST DR SUITE 200 HOUSTON TX 77099 FOOD SERVICE 652247 UT HEALTH SCIENCE CENTER 7703 FLOYD CURL DRIVE SAN ANTONIO TX 78229 PHYSICIAN SERVICES 589196 SOUTHWEST PSYCHIATRIC PHYSICIANS 8535 TOM SLICK DR SAN ANTONIO TX 78229 PHYSICIAN SERVICES 1627871 SOUTHERN HEALTHCARE ALLIANCE 211 E 7TH ST STE 620 AUSTIN TX 78701 PHYSICIAN SERVICES 434316 NETSMART TECHNOLOGIES INC 11100 NAIL AVE OVERLAND PARK KS 66211 TECH SERVICES 366515 10 338055 142240 5000 1972098 1814031 100000 4271424 Patient Service Fees 621110 24538793 24538793 Physician Office Rental 531120 51949 51949 SUPPORT PERSONNEL/SERVICE 900099 163039 163039 24753781 188700 188700 0 0 14760 14760 0 14760 14760 537909 1038781 385967 1386194 151942 -347413 -195471 -195471 0 142240 46324 -46324 -46324 0 0 0 0 0 0 Lunch Tickets 721210 23911 23911 Medical Records 561000 5330 5330 Miscellaneous Revenue 900099 108559 108559 137800 29124670 24867670 -14424 X 0 0 0 0 1088710 328669 627933 132108 0 12672911 11919174 335380 418357 20758 18475 1453 830 1138873 1013597 79721 45555 982615 874527 68783 39305 0 80456 71606 5632 3218 79140 70434 5540 3166 0 0 0 4570686 4042487 337288 190911 83114 73971 5818 3325 583072 520564 39778 22730 25520 22784 1741 995 0 777864 692299 54450 31115 525 467 37 21 0 1880 1673 132 75 792614 705427 55483 31704 0 1692281 1506130 118460 67691 297129 264445 20799 11885 Bad debt 241631 215052 16914 9665 LICENSE & REGISTRATION 18339 16321 1284 734 PROMOTIONS & SPECIAL EVENTS 59195 54231 4964 0 MEALS & ENTERTAINMENT 673412 600307 47215 25890 239178 209558 18849 10771 26119903 23222198 1847654 1050051 556423 358499 13723 1474 338172 496713 2348449 1787663 0 0 0 0 580318 2090388 207804 75116 60700 44897 37822248 16527761 24079341 21294487 5983417 6993927 0 0 0 0 253501 213858 1885213 2054884 36307061 35411906 3010434 4380019 0 0 2250161 567264 4792272 4490250 0 0 0 0 13913682 9258364 0 0 119641 101019 24086190 18796916 X 10633717 14592425 1587154 2022565 12220871 16614990 36307061 35411906 X 3004767 1217357 171995 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 497 497 23221701 23222198 1000000 250000 1000000 1000000 10000000 1000000 13000000 19500000 1947 497 2444 250000 250000 250000 250000 1000000 1500000 617 617 497 0 32903797 13267493 19636304 78352 78352 0 3416000 2457192 958808 1424099 724724 699375 21294487 INVESTMENT IN SPP 832390 BENEFICIAL INTEREST IN PERPETU 1218279 INT. RATE PROTECTION AGREEMENT 4215 2054884 0 Due to Affiliate 101019 101019 29251453 244294 204825 449119 28802334 322336 322336 29124670 26516302 244294 393737 638031 25878271 241632 241632 26119903 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 $439,245 CHANGE IN FAIR VALUE OF INTEREST RATE PROTECTION AGMT 6,539 CHANGE IN INTEREST IN NET ASSETS OF SPP 673 BAD DEBT EXPENSE (241,632) ---------------- TOTAL $204,825 SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: CONTRIBUTIONS IN NET ASSETS WITH DONOR RESTRICTIONS $716,073 LOSS ON SALE (347,413) DIRECT FUNDRAISING EXPENSES (46,324) --------------- TOTAL $322,336 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: LOSS ON SALE $347,413 DIRECT FUNDRAISING EXPENSES 46,324 ----------------- TOTAL $393,737 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $241,632 virtual event 142240 142240 15140 1090 30094 0 142240 142240 15140 1090 30094 46324 -46324 true true X true X true X 500. true true false true true 248874 248874 0.00960 13387895 13208757 179138 0.00690 1315371 1025174 290197 0.01120 14952140 14233931 718209 0.02770 308606 46068 262538 0.01010 244294 244294 0.00940 552900 46068 506832 0.01950 15505040 14279999 1225041 0.04720 true 241632 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 18 true false false true X SEE PART V, SECTION C X true 20 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. MEETINGS WERE HELD WITH STAKEHOLDERS REPRESENTING PUBLIC HEALTH, CHILD AND ADOLESCENT PSYCHIATRY AND VARIOUS COMMUNITY CONSTITUENTS. THESE STAKEHOLDERS INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS AND/OR GROUPS: BEXAR COUNTY, EMERGENCY DEPARTMENT, CLARITY CHILD GUIDANCE CENTER STAFF, MEADOWS MENTAL HEALTH POLICY INSTITUTE, MULTIPLE SYSTEM OF CARE LEADERS FROM ACROSS SOUTH TEXAS AND BEXAR COUNTY'S MENTAL HEALTH SYSTEM OF CARE. IN ADDITION TO THE MEETINGS, A PROFESSIONALS RESEARCH STUDY WAS DISTRIBUTED TO OVER 3,500 PROFESSIONAL CONTACTS WITHIN THE COMMUNITY. THE SAMPLE INCLUDED THE HOSPITAL'S OWN LIST OF PROFESSIONAL RECIPIENTS, SCHOOL COUNSELORS, SOCIAL WORKERS, MEMBERS OF THE SAN ANTONIO PEDIATRICIAN SOCIETY, AND DOCTORS OF THE BEXAR COUNTY PHYSICIANS SOCIETY. IN TOTAL, 182 RESPONSES WERE RECEIVED. THE RESEARCH STUDY ALSO TARGETED PARENTS/LEGAL GUARDIANS OF CHILDREN UNDER THE AGE OF 18 LIVING IN THE HOUSEHOLD. THERE WERE 400 PHONE INTERVIEWS AND 305 ONLINE SURVEYS CONDUCTED. 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: http://www.claritycgc.org/about-clarity/reports-for-the-community SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: FROM THE 2018 CHNA, THE HOSPITAL DEPLOYED A CONTACT CENTER TO PROVIDE INFORMATION AND ASSESS THE NEED FOR HOSPITALIZATION, LAUNCHED A RAPID ASSESSMENT PROGRAM, AND OPENED THE NEXT STEP CENTER. CLARITY CHILD GUIDANCE CENTER'S LEADERSHIP EVALUATED THE OPPORTUNITIES REVEALED IN THE 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, LINES 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 19,807 OUTPATIENT VISITS AND 19,215 HOSPITAL DAYS OF CARE FOR THE CHILDREN OF OUR COMMUNITY IN FISCAL YEAR 2021. THOUSANDS OF CHILDREN RECEIVED SERVICES AND AS A NONPROFIT, THEY WERE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR THE TREATMENT PROVIDED. FY 2021 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 $241,632 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 169441 0 0 0 135 0 0 0 30198 0 199774 0 0 0 DERRICK FLOWERS VP FINANCE 170287 0 0 0 207 0 0 0 803 0 171297 0 0 0 GEOFFREY GENTRY VP CLINICAL SERVICES 162446 0 0 0 594 0 0 0 803 0 163843 0 0 0 CAROL CARVER VP PATIENT SERVICES 165035 0 0 0 594 0 0 0 15384 0 181013 0 0 0 A SPLENDORA CULTURAL 760664368 XXXXXXXXX 2014-10-28 8000000 CAMPUS EXPANSION OF FACILITIES false false false A 3509750 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 IV, 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 2019, 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 $6,539 CHANGE IN INTEREST IN NET ASSETS OF SPP 673 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 164,783 ---------------- TOTAL $171,995 FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: The bylaws were revised and amended November 2020. The revised bylaws added a Treasurer as an officer of the board. The development board was removed and replaced with the Marketing and Development Committee. FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:42196 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED CONTRACT SERVICES TOTAL FEES:4528490 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 38863 FMV SOUTHWEST PSYCHIATRIC PHYSICIANS P 1627871 ACTUAL COST SOUTHWEST PSYCHIATRIC PHYSICIANS Q 163039 ACTUAL COST