2018-05-02T14:11:05-05:00 2017-06-30 BKD LLP 14241 DALLAS PKWY SUITE 1100 DALLAS TX 75254 990 2016-07-01 741153067 Clarity Child Guidance Center % MICHAEL BERNICK CLAR 2106160300 8535 Tom Slick Drive San Antonio TX 782293363 FREDERICK W HINES PRESIDENT AND CEO 2106160300 2017-11-15 true JEANETTE VERRELLI P00742631 9727028262 167.68.126.162 70234720181225000002 2018-05-02 P 6B6B7147154A948B4527E667F6B6E018C9F66305 ACBA2431EF37DEF71821A9057AFD5F2E9C389335 2016 2021-01-29 14:40:06Z FREDERICK W HINES 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 24047274 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 20 419 194 0 0 3010345 3849391 21073788 19494955 157206 475777 184019 10541 24425358 23830664 189995 131843 0 0 16471302 18259625 0 0 493233 7440663 9389111 24101960 27780579 323398 -3949915 40357009 41237780 22308627 26684438 18048382 14553342 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 23985018 131843 19524935 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 16,979 INPATIENT DAYS, 6,029 PARTIAL HOSPITALIZATION DAYS, 22,739 OUTPATIENT VISITS AND PROVIDED CHARITY CARE, INDIGENT HEALTH CARE AND OTHER COMMUNITY BENEFITS DURING THE FISCAL YEAR. 23985018 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 true false true true false false false false false false false false false false true false false false false true true true false false true 37 0 419 true false false false false false true true false false false false X 20 20 false false false false false false false true true false false true true true true true true true true false X MICHAEL BERNICK 2106160300 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 X Paul R Brochu Immediate Past Chair 1.0 0.0 X X 0 0 0 TAYLOR S BOONE DIRECTOR 1.0 0.0 X 0 0 0 JUSTICE LUS ELENA CHAPA DIRECTOR 1.0 0.0 X 0 0 0 MARK W CRONK DIRECTOR 1.0 0.0 X 0 0 0 ASHLEY DAHLBERG DIRECTOR 1.0 0.0 X 0 0 0 PEGGY DEMING DIRECTOR 1.0 0.0 X 0 0 0 MARIANNE FIORENZA CPA FINANCE COMMITTEE CHAIR 1.0 0.0 X X 0 0 0 STEPHEN A GONZALEZ PHD DIRECTOR 1.0 0.0 X 0 0 0 AMI GORDON DIRECTOR 1.0 0.0 X 0 0 0 REED HURLEY DIRECTOR 1.0 0.0 X 0 0 0 TONY LOBASSO DIRECTOR 1.0 0.0 X 0 0 0 CHARLES MCLANE DEVELOPMENT BOARD CHAIR 1.0 0.0 X X 0 0 0 GEORGINA BENITEZ SCHMAHL DIRECTOR 1.0 0.0 X 0 0 0 BEN SCOTT CHAIR 1.0 0.0 X X 0 0 0 KAY SCROGGINS VICE CHAIR 1.0 0.0 X X 0 0 0 JOHN SEYBOLD CHAIR-ELECT 1.0 0.0 X X 0 0 0 TARA SHELTON DIRECTOR 1.0 0.0 X 0 0 0 FERNANDA SMITH DIRECTOR 1.0 0.0 X 0 0 0 JOANNA WEIDMAN DIRECTOR 1.0 0.0 X 0 0 0 BRIAN ZIMMERMAN SECRETARY 1.0 0.0 X X 0 0 0 CHRISTOPHER P THROM PHD DIRECTOR 1.0 0.0 X 0 0 0 FREDERICK HINES PRESIDENT/CEO 40.0 0.0 X 229152 0 12941 MICHAEL BERNICK VP-FINANCE 40.0 0.0 X 215011 0 18543 GINA MASSEY VP-HUMAN RESOURCES 40.0 0.0 X 154137 0 10829 GEOFFREY GENTRY VP-CLINICAL SERVICES 40.0 0.0 X 171737 0 18110 CHRIS BRYAN VP-INFORMATION TECHNOLOGY 40.0 0.0 X 153223 0 25529 CAROL CARVER VP-PATIENT SERVICES 40.0 0.0 X 135825 0 18294 REBECCA HELTERBRAND VP-MARKETING/DEVELOPMENT 40.0 0.0 X 176773 0 24200 JOEL SCHNITZ PHARMACIST 40.0 0.0 X 137396 0 16895 KARL KOCH DIRECTOR-OUTPATIENT SERVICES 40.0 0.0 X 134943 0 17156 GERARD MIGEON DIRECTOR-MARKETING 40.0 0.0 X 123802 0 22298 THEANNE LONG DIRECTOR WEEKEND SERVICES 40.0 0.0 X 140663 0 822 MICHELE BROWN Director of Development 40.0 0.0 X 125865 0 13761 1898527 0 199378 19 false true false PRINCE FOOD SYSTEMS 11001 WILCREST DR SUITE 200 HOUSTON TX 77099 FOOD SERVICE 693094 UT HEALTH SCIENCE CENTER 7703 FLOYD CURL DRIVE SAN ANTONIO TX 78229 PHYSICIAN SERVICES 429042 SOUTHWEST PSYCHIATRIC PHYSICIANS 8535 TOM SLICK DR SAN ANTONIO TX 78229 PHYSICIAN SERVICES 992750 KELLER-MARTIN CONSTRUCTION INC 4930 ENTERPRISE DR SAN ANTONIO TX 78249 CONTRACTORS 718439 4 X 1223285 392835 10250 95542 2127479 100000 3849391 PATIENT SERVICE FEES 621110 19298398 19298398 PHYSICIAN OFFICE RENTAL 531120 147000 147000 SUPPORT PERSONNEL/SERVICES 900099 49557 49557 19494955 142561 142561 0 0 0 0 0 474337 141121 333216 333216 333216 23091 392835 75489 -52398 -52398 0 0 0 0 0 0 LUNCH TICKETS 721210 32959 32959 MEDICAL RECORDS 561000 14321 14321 MISCELLANEOUS REVENUE 900099 15659 15659 62939 23830664 19524935 456338 131843 131843 0 0 0 1405907 468973 846711 90223 0 14236366 12878527 1103549 254290 284887 245006 33587 6294 1230485 1080235 126708 23542 1101980 929488 146524 25968 0 65570 65570 104074 104074 0 0 0 2465275 2256624 204000 4651 118540 2246 104265 12029 2112007 1984918 118664 8425 0 0 737292 659416 69329 8547 37555 27178 7643 2734 0 43574 34953 8158 463 787428 720458 59620 7350 0 1873736 1675822 176192 21722 295590 268013 24340 3237 BAD DEBT EXPENSE 581975 581975 PROMOTIONS AND SPECIAL EVENTS 82968 1456 62934 18578 DUES AND PUBLICATIONS 26779 20461 6229 89 LICENSE AND REGISTRATION 39367 9532 29035 800 17381 7894 5196 4291 27780579 23985018 3302328 493233 94973 276188 13723 13723 475260 444140 2615027 3236899 0 0 0 0 1427744 1820181 115295 197196 170718 334927 37914045 10533697 28285383 27380348 0 0 0 0 0 0 288081 247641 6870805 7286537 40357009 41237780 3048056 3326716 0 0 0 0 9225484 9836991 0 0 0 0 9813578 12891452 0 0 221509 629279 22308627 26684438 X 16520463 12526347 513005 952185 1014914 1074810 18048382 14553342 40357009 41237780 X -3949915 47257 407618 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 854 7625 8479 23976539 23985018 1000000 250000 983362 1000000 1000000 1000000 3983362 5975043 1310 5257 2407 7625 16599 245841 250000 250000 250000 995841 1493762 1310 2930 385 854 5479 319221 319221 33821359 8751778 25069581 78352 78352 0 2228601 1299168 929433 1466512 404399 1062113 27380348 Board Designated Fund 5373690 Investment in SPP 690921 Due From Affiliate 147116 Beneficial Int-Perpetual Trust 1074810 7286537 0 DUE TO AFFILIATE 629279 629279 22865754 -195919 -195919 23061673 768991 768991 23830664 27274387 75783 75783 27198604 581975 581975 27780579 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 $38,040 CHANGE IN FAIR VALUE OF INTEREST RATE PROTECTION AGMT 124,255 CHANGE IN INTEREST IN NET ASSETS OF SPP 223,467 BAD DEBT EXPENSE (581,975) OTHER CLASSIFICATION DIFFERENCE 294 ------------- TOTAL $(195,919) schedule d, part xi, line 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH RETURN: FUNDRAISING EXPENSE $(75,489) UNRELEASED CONTRIBUTIONS IN TEMPORARILY RESTRICTED NET ASSETS 844,480 ----------- TOTAL $ 768,991 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: FUNDRAISING EXPENSE $75,489 OTHER CLASSIFICATION DIFFERENCE 294 --------- TOTAL $75,783 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: BAD DEBT EXPENSE $581,975 GALA 393787 370696 23091 3025 50186 1014 8836 TOP GOLF 19669 19669 7274 0 413456 390365 23091 3025 57460 1014 8836 70335 -47244 true true X true X true X 500. true false true true 464720 464720 0.01710 12459548 10470551 1988997 0.07310 1631786 1114761 517025 0.01900 14556054 11585312 2970742 0.10920 493160 493160 0.01810 631802 631802 0.02320 213324 213324 0.00780 131843 131843 0.00480 1470129 1470129 0.05390 16026183 11585312 4440871 0.16310 true 581975 true false 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 15 true false false true X SEE PART V, SECTION C X true 15 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 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. IN TOTAL, 22 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 2,900 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 MEMBERS OF THE BEXAR COUNTY MEDICAL SOCIETY. IN TOTAL, 304 RESPONSES WERE RECEIVED. SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: THE HOSPITAL IDENTIFIED AND PRIORITIZED THE FOLLOWING NEEDS IN THEIR IMPLEMENTATION STRATEGY: 1. CONTINUE INVESTING IN DEVELOPMENT TO ENABLE SYSTEMIC AND REPEATABLE FUNDING STREAMS TO OUR EXISTING BUSINESS MODEL OF BILLING INSURANCE COMPANIES. DURING THE 2017 FISCAL YEAR, THE HOSPITAL MADE THE FOLLOWING ACCOMPLISHMENTS TO MEET THIS PRIORITY: - CONTINUED TO SUCCESSFULLY REPORT OUTCOME METRICS AND FULLY REALIZE $5.1M IN FUNDING FROM THE DSRIP/1115 WAIVER. - UNITED WAY OF SAN ANTONIO AND BEXAR COUNTY CONTINUED TO SUPPORT OUR MISSION WITH $1.2M IN FUNDING IN 2017 TO SUPPORT AN OUTPATIENT TRIAGE, BRIEF THERAPY, AND ASSESSMENTS PROGRAM. RECEIVED FUNDING FROM METHODIST HEALTHCARE MINISTRIES, GREEHEY FAMILY FOUNDATION, AND THE KRONKOSKY CHARITABLE FOUNDATION OF MORE THAN $1.7M IN TOTAL - RECEIVED THE INAUGURAL ROUND OF CAPITAL FUNDING FROM THE JOHN J. SANTIKOS FOUNDATION 2. & 3. EXPLORE METHODS TO INCREASE ACCESS TO CARE, KNOWING THAT A SEVERE SHORTAGE OF PSYCHIATRISTS HAS BEEN AN ONGOING SOCIETAL ISSUE AND EXPAND LEVELS OF CARE AND TYPES OF CARE IN THE COMMUNITY. DURING THE 2017 FISCAL YEAR, THE HOSPITAL MADE THE FOLLOWING ACCOMPLISHMENTS REGARDING THIS PRIORITY: - Added the physical space that came with the opening of the Crisis Assessment Center, increasing our capacity to accommodate more assessments. The Observation Unit provides a safe and secure place where the Admissions Staff can process more assessments than before. - Changed our telephonic triage model, making the process more concise; which enabled us to take more calls. - Began offering the families the option to come in-person whenever needed without being scheduled. As a result the number of walk-Ins has increased substantially over the last few years. For instance, in August 2015 we had 8 walk-ins, in August 2016 we had 33, and in August 2017 we had 70. - The number of admissions grew by 29%. - Expanded service capacity at our first urgent need clinic at Westover Hills, with now four therapists, a full-time psychiatrist, a part-time nurse practitioner, and day treatment center. We increased the number of patient sessions from 799 in FY2015 to 2,022 in FY2017 and patient days in day treatment from 477 to 1,300. - Increased the capacity of our main campus day treatment facility which allows a child to stay with us 8:00 a.m. until 3:00 p.m., Monday through Friday for intensive treatment coming out of hospitalization, or as a measure to prevent hospitalization. We offer this level of care at two locations in the community. The number of patient days in day treatment went from 4,564 in FY2016 to 6,017 in FY2017, a 32% increase, and a 122% increase over FY2015. - Outpatient services provided over 30,000 appointments in FY2017, including psychotherapy, psychiatric evaluations and medication management, psychological testing, and developmental and neuropsychological assessments. - Continued the partnership with UT Health-San Antonio Department of Child AND Adolescent Psychiatry, Baylor College of Medicine and the telepsychiatry of our Houston based partner. - Working with our on-site pharmacy partner Genoa we rolled out Pyxis 4000, an automated medication dispensing system to our three inpatient living units insuring more consistency and efficiency of medication distribution. 4. DEEPEN THE RELATIONSHIPS AND OUTREACH RELATED TO ONE IN FIVE MINDS, CLARITY CGC'S SIGNATURE CAMPAIGN TO END THE STIGMA OF MENTAL ILLNESS. DURING FISCAL YEAR 2017, THE HOSPITAL MADE THE FOLLOWING ACCOMPLISHMENTS REGARDING THIS PRIORITY: - More than 6,000 individuals have pledged to take a stand on childrens mental illness, and over 7,600 followers are active on our "1in5minds" Facebook page. - Under the umbrella of this campaign, we also organized Strong Minds, Happy Hearts (SMHH) events in local schools in an effort to bring face-to-face support to parents. Parents/guardians learn about signs/symptoms of mental illness and can access the system of care through onsite exhibitors. We hosted one SMHH event in February with 100 people. - In January 2017, over 360 people attended the Texas Premiere of the film "No Letting Go" at the Palladium Santikos Theater, also featuring 15 community agencies and Randi Silverman, the writer, co-producer of the movie depicting her familys story. - May is Mental Health Awareness Month, and weve solidly owned the delivery of a community message that has involved Maynicures for women. Overall, 43,000 people engaged with us in FY2017 through social media, our website or at our launch event. - With the help of a grant from USAA, we piloted a Military Parent information campaign on 1in5minds.org and reached 19,000 people on our website and 45,000 on Facebook. The grant was renewed and expanded for FY2018. - We continue to hosts regular community education events for professionals at no charge as a community service. During these events, 725 attendees heard from regional experts and earned Continuing Education Unit (CEU) credits. Video replays of the presentations are available on-demand through our YouTube channel and Clarity CGC website and were viewed over 144,000 times in the past year and 838,000 minutes of content streamed. - In addition, over 350 professionals and educators attended our fourth annual Claritycon, a summit on childrens mental health, a 1.5-day event offering 20 breakout sessions speakers. The conference featured renowned speakers such as Elizabeth McInvale, PhD the founder of the Peace of Mind Foundation and an expert on Obsessive Compulsive Disorder (OCD), Kristin Neff, PhD Associate Professor of Educational Psychology at the University of Texas at Austin and Linea and Cinda Johnson, co-authors of "Perfect Chaos A Daughters Journey to Survive Bipolar, A Mothers Struggle to Save Her". - We also provided education sessions in the community to 1,528 attendees and hosted benchmarking tours to people. We conducted 36 United Way presentations to 1,458 attendees representing multiple companies in the community. 5. IMPLEMENT CARE COORDINATION TO provide more effective utilization of health services for children at high-risk of harm to self and others, as well as to reduce the need for re-admission. The Care Coordination team helps the family navigate treatment and removes potential barriers to care. Whether it is setting up appointments, or helping to navigate other supports from the system of care, this team serves as a discharge guide and navigator. Additionally the team can provide support for food-insecurity, by providing a trip through our on-site food pantry developed in partnership with the San Antonio Food Bank; or providing a warm hand-off to other community partners for other social determinant needs based on the familys unique situation. Care Coordination is the best way to keep patients compliant with the treatment plan, while removing barriers to care. THE REMAINING ITEMS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS AND INTERVIEWS ARE IN THE RESEARCH STAGE TO DETERMINE IF THEY CAN BE IMPLEMENTED FOLLOWING THE AFOREMENTIONED FIVE MAJOR INITIATIVES. ITEMS NOT IMMEDIATELY BEING ADDRESSED, SUCH AS A LACK OF PARENT/GUARDIAN KNOWLEDGE ABOUT PATHWAYS AND BRIDGING DISPARATE HEALTH SYSTEMS COULD BE RESOLVED WITH A REGIONAL CALL CENTER TO HELP DIRECT ACCESS TO CARE. THIS IS AN INITIATIVE UNDER CONSIDERATION BY THE BEXAR COUNTY MENTAL HEALTH CONSORTIUM. SCHEDULE H, PART V, SECTION B, LINE 7A & 10A AVAILABILITY 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 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: HTTP://WWW.CLARITYCGC.ORG/PATIENT-FAMILIES/LEARN-ABOUT-CLARITY/WHAT-TO-EXP ECT/FINANCIAL-ASSISTANCE-POLICY SCHEDULE H, PART V, SECTION B COMPLIANCE WITH 501R: CLARITY CHILD GUIDANCE CENTER IDENTIFIED THAT IT HAD NOT UPDATED ITS AMOUNTS GENERALLY BILLED (AGB) CALCULATION. ONCE IDENTIFIED THE HOSPITAL QUICKLY CALCULATED AGB AND AMENDED THE FINANCIAL ASSISTANCE POLICY TO REFLECT THE NEW CALCULATED PERCENTAGE OF 60% OF THE POSTED CHARGE RATE. THE PREVIOUS AGB BEING USED BY THE HOSPITAL WAS 54%. AS THIS IS LOWER THAN THE ACTUAL PERCENTAGE THEY SHOULD HAVE BEEN USING AS OF NOVEMBER 2016, NO PATIENTS WERE CHARGED MORE THAN THE CORRECTED AGB PERCENTAGE. HOSPITAL PERSONNEL ARE WORKING DILIGENTLY TOWARD COMPLIANCE AND WILL CORRECT ANY ADDITIONAL FAILURES TO COMPLY AS THEY ARE IDENTIFIED. TOP MANAGEMENT WILL MONITOR THE POLICY DOCUMENTS ANNUALLY TO CONFIRM THE HOSPITAL CONTINUES TO STAY COMPLIANT WITH 501R. 2 CLARITY CHILD GUIDANCE CENTER - OPC 2135 BABCOCK RD SAN ANTONIO TX 78229 OUTPATIENT BEHAVIOR HEALTH CLINIC CLARITY CHILD GUIDANCE CENTER - WH 10431 STATE HIGHWAY 151 SAN ANTONIO TX 78251 OUTPATIENT BEHAVIOR HEALTH CLINIC SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE BAD DEBT EXPENSE OF $581,975 ON LINE 2 IS THE BAD DEBT EXPENSE REPORTED FROM THE AUDITED FINANCIAL STATEMENTS. 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: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE CENTER'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND ACCOUNT WRITE-OFFS DID NOT CHANGE SIGNIFICANTLY FROM 2016 TO 2017. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION PRACTICES: THE COLLECTION POLICY CURRENTLY DOES NOT CONTAIN EXPLICIT PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. HOWEVER, 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 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 $49,655 WITH 20% 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 22,739 OUTPATIENT PATIENT VISITS AND 23,008 HOSPITAL DAYS OF CARE FOR THE CHILDREN OF OUR COMMUNITY IN FISCAL YEAR 2017. THOUSANDS OF CHILDREN RECEIVED SERVICES AND AS A NONPROFIT, THEY WERE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR THE TREATMENT PROVIDED. WE WERE THE ONLY PROVIDER OF CHILDRENS MENTAL HEALTH CARE IN THE REGION FOR 8 MONTHS IN 2017. WE LOOK FORWARD TO WORKING WITH THE COMMUNITY TO REDUCE THE STIGMA AND INCREASE SERVICES TO ERADICATE THE LACK OF ACCESS, PROVIDERS AND TREATMENT. FOLLOWING IS A LIST OF THE VARIOUS WAYS IN WHICH WE PROVIDED COMMUNITY SERVICES: OUR WEBSITE RECEIVES OVER 80,000 VISITS A YEAR FROM PROFESSIONALS, FAMILIES AND DONORS LOOKING FOR WARNING SIGNS AND OTHER INFORMATION. ALSO, CLARITY'S YOUTUBE CHANNEL AND ITS LIBRARY OF TOPICS HAD MORE THAN 144,000 VIEWS, AND 838,000 MINUTES OF CONTENT STREAMED TO INCREASE KNOWLEDGE AND EDUCATION ABOUT CHILDRENS MENTAL HEALTH. WE ALSO SHARE KNOWLEDGE BY HOSTING FREE CONTINUING EDUCATION SESSIONS ON OUR CAMPUS. THIS YEAR, 725 PEOPLE FROM ACROSS THE COMMUNITY ATTENDED THESE SESSIONS TO GAIN CRITICAL KNOWLEDGE. WE ALSO PROVIDED EDUCATION SESSIONS IN OTHER LOCATIONS IN THE COMMUNITY TO 1,528 ATTENDEES AND HOSTED BENCHMARKING TOURS. 36 UNITED WAY PRESENTATIONS WERE MADE TO 1,458 ATTENDEES REPRESENTING MULTIPLE COMPANIES IN OUR COMMUNITY. WE CONTINUED PROVIDING EDUCATION ABOUT CHILDREN'S MENTAL HEALTH BY HOSTING THE THIRD CLARITYCON CONFERENCE FOR PROFESSIONALS ACROSS THE STATE. IN JUNE, 350 PROFESSIONALS ATTENDED A 1.5 DAY EVENT THAT FEATURED 20 BREAKOUT SESSION SPEAKERS, PANELISTS, AND TWO KEYNOTE SPEAKERS, INCLUDING SUCH AS LAURENCE STEINBERG, PH.D., ONE OF THE WORLD'S LEADING EXPERTS ON CHILD AND ADOLESCENT PSYCHOLOGICAL DEVELOPMENT. THE CONFERENCE FEATURED RENOWNED SPEAKERS SUCH AS ELIZABETH MCINVALE, PHD THE FOUNDER OF THE PEACE OF MIND FOUNDATION AND AN EXPERT ON OBSESSIVE COMPULSIVE DISORDER (OCD), KRISTIN NEFF, PHD ASSOCIATE PROFESSOR OF EDUCATIONAL PSYCHOLOGY AT THE UNIVERSITY OF TEXAS AT AUSTIN AND LINEA AND CINDA JOHNSON, CO-AUTHORS OF "PERFECT CHAOS: A DAUGHTER'S JOURNEY TO SURVIVE BIPOLAR, A MOTHER'S STRUGGLE TO SAVE HER". OUR ONE IN FIVE MINDS CAMPAIGN TO END THE STIGMA OF CHILDREN'S MENTAL ILLNESS CELEBRATED ITS THIRD YEAR ANNIVERSARY. IT HAS INSPIRED OVER 6,000 PEOPLE TO TAKE THE PLEDGE TO END STIGMA AND INCREASE AWARENESS OF MENTAL ILLNESS. IN ADDITION, DURING THAT YEAR, OVER 7,600 PEOPLE VISITED THE WEBSITE TO LEARN ABOUT THE CAMPAIGN. THE SOCIAL MEDIA COMPONENT OF THE CAMPAIGN REACHED 45,000 FACEBOOK FANS. STRONG MINDS AND HAPPY HEARTS IS A UNIQUE SCHOOL-BASED AWARENESS PROGRAM FOR CHILDRENS MENTAL HEALTH IN BEXAR COUNTY. THIS FREE EVENT IS DESIGNED TO BREAK DOWN THE BARRIERS OF MENTAL ILLNESS BY HELPING EDUCATE PARENTS, SCHOOLS AND COMMUNITY MEMBERS ABOUT CHILDRENS MENTAL HEALTH AND PROVIDE THE INSIGHT AND RESOURCES NEEDED TO HELP. WE HAVE HOSTED MULTIPLE STRONG MINDS AND HAPPY HEARTS EVENTS THIS FISCAL YEAR AND ARE EXPANDING THIS PROGRAM TO MANY MORE SCHOOL DISTRICTS, BRINGING THIS EDUCATION DIRECTLY TO PARENTS AND CAREGIVERS. IN MAY 2017 WE ORGANIZED MAYNICURES, A SOCIAL MEDIA CAMPAIGN INVITING ALL SAN ANTONIO WOMEN TO PAINT THEIR NAILS WITH A ONE IN FIVE COLOR PATTERN IN RECOGNITION OF CHILDRENS MENTAL HEALTH MONTH. OVERALL, 43,000 PEOPLE ENGAGED WITH US THROUGH SOCIAL MEDIA, OUR WEBSITE OR AT OUR EVENT. 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 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 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, COLUMN F BAD DEBT EXCLUDED IN CALCULATION OF PATIENT CARE COST TO CHARGES: BAD DEBT EXPENSE IN THE AMOUNT OF $581,975 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. true SERVICE ORGANIZATION OF SAN ANTONIO 2950 50TH STREET LUBBOCK TX 79413 371591815 501(C)(3) 124000 COMMUNITY HEALTHCARE 1 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. X X X false false false false false true false false false FREDERICK HINES PRESIDENT/CEO 212152 0 17000 0 0 0 3023 0 9918 0 242093 0 MICHAEL BERNICK VP-FINANCE 198011 0 17000 0 0 0 2788 0 15755 0 233554 0 GINA MASSEY VP-HUMAN RESOURCES 137137 0 17000 0 0 0 1880 0 8949 0 164966 0 GEOFFREY GENTRY VP-CLINICAL SERVICES 154737 0 17000 0 0 0 2223 0 15887 0 189847 0 CHRIS BRYAN VP-INFORMATION TECHNOLOGY 136223 0 17000 0 0 0 1959 0 23570 0 178752 0 CAROL CARVER VP-PATIENT SERVICES 118825 0 17000 0 0 0 1704 0 16590 0 154119 0 JOEL SCHNITZ PHARMACIST 135496 0 1900 0 0 0 2188 0 14707 0 154291 0 KARL KOCH DIRECTOR-OUTPATIENT SERVICES 131143 0 3800 0 0 0 1891 0 15265 0 152099 0 REBECCA HELTERBRAND VP-MARKETING/DEVELOPMENT 159773 0 17000 0 0 0 2348 0 21852 0 200973 0 SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANIZATION: CLARITY'S INCENTIVE COMPENSATION PLAN IS DESIGNED TO REMAIN COMPETITIVE IN THE MARKETPLACE, INCREASE LEVELS OF PERFORMANCE AND/OR EXPECTATIONS OF STAFF AND TO REWARD EMPLOYEES SYSTEMATICALLY FOR ACHIEVING DESIRED RESULTS CONSISTENT WITH BUSINESS NEEDS, GOALS AND INITIATIVES. THE PLAN INCLUDES ALL EMPLOYEES AND IS BASED ON A PERCENTAGE OF THE CHANGE IN NET ASSETS AND MEETING OR EXCEEDING 92.5% IN OVERALL PATIENT SATISFACTION. THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS WILL PERIODICALLY TRACK THE PLAN IMPACT ON BOTH BUSINESS OBJECTIVES AS WELL AS EMPLOYEE PERFORMANCE TO ENSURE A PLAN SUPPORTIVE OF BUSINESS STRATEGY AND INITIATIVES. A Splendora Cultural Education Facilities Fin Corp 760664368 xxxxxxxxx 2014-10-28 8000000 CAMPUS EXPANSION OF FACILITIES false false false B ROMAN FOREST CULTURAL EDUCATION 270047012 XXXXXXXXX 2006-05-09 6000000 CONSTRUCTION OF NEW ADMIN BUILDING false false false A 213949 0 8000000 0 0 0 160000 0 0 7840000 0 0 2015 false false true true B 3949060 0 6000000 0 0 3459074 120000 0 0 2420926 0 0 2008 false false true true A false false true true false 0 false false false false B false false true true false 0 false false false false A false true false false true true FROST BANK 10. false false false 0 false false B false false false true true true FROST BANK 15. false false false 0 false false A false B 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: ROMAN FOREST BONDS - REBATE COMPUTATION PERFORMED 8/18/2008 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. 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 BOARD 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 FEED BACK 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 MARCH OF 2016 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS: CHANGE IN FV OF INTEREST RATE PROTECTION AGREEMENTS $124,255 CHANGE IN INTEREST IN NET ASSETS OF SPP 223,467 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 59,896 ------------- TOTAL $407,618 UNIVERSITY CENTERS INC 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 742454683 SCH BEHV SPEC TX 501(C)(3) 3 CCGC true 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 true true true false false false false false false true true false false false false true true southwest psychiatric physicians a 147000 FMV southwest psychiatric physicians M 992750 FMV southwest psychiatric physicians E 93206 FMV southwest psychiatric physicians D 407771 FMV