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        <PersonNm>Joanna Weidman</PersonNm>
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        <PersonNm>Mark Vickery</PersonNm>
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        <PersonNm>Michael Bernick</PersonNm>
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        <PersonNm>Chris Bryan</PersonNm>
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        <PersonNm>Rebecca Helterbrand</PersonNm>
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        <TotalAmt>406003</TotalAmt>
        <ProgramServicesAmt>406003</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROMOTIONS AND SPECIAL EVENTS</Desc>
        <TotalAmt>89134</TotalAmt>
        <ProgramServicesAmt>89</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68808</ManagementAndGeneralAmt>
        <FundraisingAmt>20237</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND PUBLICATIONS</Desc>
        <TotalAmt>25022</TotalAmt>
        <ProgramServicesAmt>18283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6185</ManagementAndGeneralAmt>
        <FundraisingAmt>554</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSE AND REGISTRATION</Desc>
        <TotalAmt>20678</TotalAmt>
        <ProgramServicesAmt>6719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13959</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2124</ManagementAndGeneralAmt>
        <FundraisingAmt>475</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>20580670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2966110</ManagementAndGeneralAmt>
        <FundraisingAmt>555180</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>94973</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>13723</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>475260</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2615027</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>1427744</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>115295</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>170718</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>36985786</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8700403</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>28285383</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>16432704</BOYAmt>
        <EOYAmt>22308626</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <TemporarilyRstrNetAssetsGrp>
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      <PermanentlyRstrNetAssetsGrp>
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        <EOYAmt>1014914</EOYAmt>
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        <EOYAmt>18048383</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>40357009</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>323398</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>79395</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>1094365</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-92884</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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        <FilingOrganizationsTotalAmt>385</FilingOrganizationsTotalAmt>
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      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>2022</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>2407</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>20578263</FilingOrganizationsTotalAmt>
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      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>20580670</FilingOrganizationsTotalAmt>
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      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <AvgLobbyingNontaxableAmountGrp>
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        <CurrentYearMinus2Amt>983362</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>3895671</TotalAmt>
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      <AvgTotalLobbyingExpendGrp>
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        <CurrentYearMinus2Amt>1310</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>5257</CurrentYearMinus1Amt>
        <CurrentYearAmt>2407</CurrentYearAmt>
        <TotalAmt>27236</TotalAmt>
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      <AvgGrassrootsNontaxableGrp>
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        <CurrentYearMinus2Amt>245841</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>973918</TotalAmt>
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      <AvgGrassrootsLobbyingExpendGrp>
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        <CurrentYearMinus2Amt>1310</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>2930</CurrentYearMinus1Amt>
        <CurrentYearAmt>385</CurrentYearAmt>
        <TotalAmt>18673</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
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        <BookValueAmt>319221</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>33318151</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7321841</DepreciationAmt>
        <BookValueAmt>25996310</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>78352</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>78352</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>970957</DepreciationAmt>
        <BookValueAmt>1105269</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>329253</DepreciationAmt>
        <BookValueAmt>864583</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>28285383</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BOARD DESIGNATED FUNDS</Desc>
        <BookValueAmt>5334527</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN SUBSIDIARY</Desc>
        <BookValueAmt>467454</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INT-PERP TRUST</Desc>
        <BookValueAmt>1014914</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATE</Desc>
        <BookValueAmt>53910</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6870805</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED AMT DUE TO 3RD PARTY</Desc>
        <Amt>14717</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATE</Desc>
        <Amt>221509</Amt>
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      <TotalLiabilityAmt>236226</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>24001564</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>79395</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>222464</OtherRevenueAmt>
      <RevenueNotReportedAmt>301859</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>23699705</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>725653</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>725653</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>24425358</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>23755501</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>59844</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>59844</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>23695657</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>406303</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>406303</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>24101960</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Liability for uncertain tax positions: The Center has been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, the Center is subject to federal income tax on any unrelated business taxable income. The Center files tax returns in the U.S. federal jurisdiction.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>Reconciliation of revenue per audited financials with return: Net Assets Released from Restrictions $641,900 Change in fair value of interest rate protection agmt (96,739) Change in interest in net assets of SPP 83,306 Bad Debt Expense (406,003) ------------- Total $222,464</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH RETURN: FUNDRAISING EXPENSE $(59,844) UNRELEASED CONTRIBUTIONS IN TEMPORARILY RESTRICTED NET ASSETS 115,268 CONTRIBUTIONS FOR ACQUISITION OF PROPERTY AND EQUIPMENT 58,095 NET ASSETS RELEASED FROM RESTRICTION 611,834 ----------- TOTAL $ 725,653</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: FUNDRAISING EXPENSE $59,844</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH RETURN: OTHER CLASSIFICATION DIFFERENCES $ 300 BAD DEBT EXPENSE 406,003 ---------- TOTAL $406,303</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <CharitableContriEvent1Amt>374858</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>55218</GrossRevenueEvent1Amt>
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        <OtherDirectExpensesEvent1Amt>55115</OtherDirectExpensesEvent1Amt>
        <Event2Nm>HOUSE PARTY</Event2Nm>
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        <FoodAndBeverageOtherEventsAmt>0</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>0</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>0</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>450076</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>394858</CharitableContributionsTotAmt>
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        <FoodAndBeverageTotalEventsAmt>0</FoodAndBeverageTotalEventsAmt>
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        <OthDirectExpnssTotalEventsAmt>59741</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>59844</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-4626</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
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      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
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      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
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        <TotalExpensePct>0.01950</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>699217</NetCommunityBenefitExpnsAmt>
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      <BadDebtExpenseAmt>406003</BadDebtExpenseAmt>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>false</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>CLARITY CHILD GUIDANCE CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>8535 TOM SLICK DRIVE</AddressLine1Txt>
          <CityNm>SAN ANTONIO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78229</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.CLARITYCGC.ORG</WebsiteAddressTxt>
        <StateLicenseNum>000737</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>CLARITY CHILD GUIDANCE CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>15</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>500.</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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 COUNTYS 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 HOSPITALS 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 7A &amp; 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2016 FISCAL YEAR, THE HOSPITAL MADE THE FOLLOWING ACCOMPLISHMENTS TO MEET THIS PRIORITY: - WE HAVE CONTINUED TO SUCCESSFULLY REPORT OUTCOME METRICS AND FULLY REALIZE $4.1M IN FUNDING FROM THE DSRIP/1115 WAIVER, WITH ANOTHER $1M ANTICIPATED FOR DEMONSTRATION YEAR 6. - UNITED WAY OF SAN ANTONIO AND BEXAR COUNTY CONTINUED TO SUPPORT OUR MISSION WITH $1.3M IN FUNDING AND IN 2016 INCREASED THEIR SUPPORT TO INCLUDE A NEW AND INNOVATIVE OUTPATIENT TRIAGE, BRIEF THERAPY, AND ASSESSMENTS PROGRAM. - THE HOSPITAL RECEIVED FUNDING FROM METHODIST HEALTHCARE MINISTRIES, VALERO ENERGY FOUNDATION, THE GREEHEY FAMILY, THE KRONKOSKY CHARITABLE FOUNDATION, THE SAN ANTONIO AREA FOUNDATION AND THE MAJIM FAMILY. 2. &amp; 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 2016 FISCAL YEAR, THE HOSPITAL MADE THE FOLLOWING ACCOMPLISHMENTS REGARDING THIS PRIORITY: - WE EXPANDED INPATIENT ACUTE CARE CAPACITY FROM 52 BEDS TO 66 INPATIENT BEDS. OUR NUMBER OF INPATIENT ADMISSIONS WENT FROM 1,388 IN FY 2015 TO 1,692 IN FY 2016, AND OUR PATIENT DAYS ROSE FROM 14,879 TO 16,731, A 12% INCREASE. OUR NEW CRISIS ASSESSMENT CENTER IS OPEN 24-HOURS A DAY, SEVEN-DAYS A WEEK. - WE EXPANDED SERVICE CAPACITY AT OUR FIRST URGENT NEED CLINIC AT WESTOVER HILLS, WITH NOW FOUR LICENSED PROFESSIONAL COUNSELORS, A FULL-TIME PSYCHIATRIST, AND DAY TREATMENT CENTER. WE INCREASED THE NUMBER OF PATIENT SESSIONS FROM 799 IN FY 2015 TO 2,022 IN FY 2016 AND PATIENT DAYS IN DAY TREATMENT FROM 477 TO 1,300. - WE DOUBLED THE CAPACITY OF OUR MAIN CAMPUS DAY TREATMENT FACILITY ALLOWING 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. - WE BUILT A NEW OUTPATIENT SERVICES FACILITY THAT PROVIDED OVER 30,000 APPOINTMENTS IN 2016. - WE EXPANDED THE PARTNERSHIP WITH UT HEALTH-SAN ANTONIO (FORMERLY UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER-SAN ANTONIO) DEPARTMENT OF CHILD AND ADOLESCENT PSYCHIATRY AND THE NURSE PRACTITIONER PROGRAM BY BRINGING THEIR DEPARTMENTS DIRECTLY ON OUR CAMPUS. - WE PARTNERED WITH BAYLOR COLLEGE OF MEDICINE SO THAT THEIR PEDIATRIC RESIDENTS ROTATE THROUGH OUR HOSPITAL TO INCREASE THE KNOWLEDGE BASE OF PHYSICIANS BEYOND PSYCHIATRY. - WE OPENED AN ON-SITE PHARMACY, IN PARTNERSHIP GENOA, WHICH ALLOWS PATIENTS AND FAMILIES A ONE-STOP SERVICE ON CAMPUS FOR ALL PRESCRIPTION NEEDS. - WE UTILIZED THE TELE PSYCHIATRY SERVICES WITH A HOUSTON BASED PARTNER. 4. DEEPEN THE RELATIONSHIPS AND OUTREACH RELATED TO ONE IN FIVE MINDS, CLARITY CGCS SIGNATURE CAMPAIGN TO END THE STIGMA OF MENTAL ILLNESS. DURING FISCAL YEAR 2016, THE HOSPITAL MADE THE FOLLOWING ACCOMPLISHMENTS REGARDING THIS PRIORITY: - MORE THAN 4,000 INDIVIDUALS HAVE PLEDGED TO TAKE A STAND ON CHILDRENS MENTAL ILLNESS, AND OVER 7,000 FOLLOWERS ARE ACTIVE ON OUR "1IN5MINDS" FACEBOOK PAGE. UNDER THE UMBRELLA OF THIS CAMPAIGN, WE ALSO CREATED AND ORGANIZED STRONG MINDS, HAPPY HEARTS 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. - MAY IS MENTAL HEALTH AWARENESS MONTH, AND WEVE SOLIDLY OWNED THE DELIVERY OF A COMMUNITY MESSAGE THAT HAS INVOLVED MAYNICURES FOR WOMEN, AND OUR SYMBOL OF HOPE AND HEALING, THE PINWHEEL, TO BECOME AN ICONIC IMAGE. OVERALL, 65,000 PEOPLE ENGAGED WITH US IN 2016 THROUGH SOCIAL MEDIA, OUR WEBSITE OR AT OUR EVENTS. - WE CONTINUE TO HOST REGULAR COMMUNITY EDUCATION EVENTS FOR PROFESSIONALS AT NO CHARGE AS A COMMUNITY SERVICE. DURING THESE EVENTS, ATTENDEES HEAR FROM REGIONAL EXPERTS AND EARN 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 100,000 TIMES IN THE PAST YEAR. IN ADDITION, OVER 350 PROFESSIONALS AND EDUCATORS ATTENDED OUR FOURTH ANNUAL CLARITYCON, A SUMMIT ON CHILDREN'S HEALTH. THE CONFERENCE FEATURED RENOWNED SPEAKERS SUCH AS LAURENCE STEINBERG, PH.D., ONE OF THE WORLDS LEADING EXPERTS ON CHILD AND ADOLESCENT PSYCHOLOGICAL DEVELOPMENT, AND RANDI SILVERMAN, WRITER AND PRODUCER OF THE AWARD WINNING FILM "NO LETTING GO". - WE ACTIVELY PARTICIPATED IN CONVERSATIONS AT THE LEGISLATIVE LEVEL TO INCREASE ACCESS TO CARE, AND WE WORKED WITH BOTH STATE AND FEDERAL LAWMAKERS TO HELP THEM UNDERSTAND THE IMPACT OF LEGISLATION AND THE NEEDS OF CHILDREN. 5. IMPLEMENT CARE COORDINATION TO CREATE MORE EFFECTIVE UTILIZATION OF HEALTH SERVICES FOR CHILDREN AT HIGH-RISK. DURING FISCAL YEAR 2016, THE HOSPITAL CREATED A DEPARTMENT DEDICATED TO CARE COORDINATION TO CREATE MORE EFFECTIVE UTILIZATION OF HEALTH SERVICES FOR CHILDREN AT HIGH-RISK. OUR CARE COORDINATION TEAM HELPS THE FAMILY NAVIGATE TREATMENT AND REMOVES THE BARRIER TO CARE. WHETHER IT IS SETTING UP APPOINTMENTS, OR HELPING TO NAVIGATE OTHER SUPPORTS FROM THE SYSTEM OF CARE, THIS TEAM IS A GUIDE AND NAVIGATOR POST-DISCHARGE. ADDITIONALLY THE TEAM CAN PROVIDE SUPPORT FOR FOOD-INSECURITY, SUCH AS A TRIP THROUGH OUR ON-SITE FOOD PANTRY PROVIDED FROM OUR PARTNERSHIP WITH THE SAN ANTONIO FOOD BANK. ALSO, WARM HAND-OFFS TO OTHER UNITED WAY PARTNER AGENCIES FOR OTHER SOCIAL DETERMINANT NEEDS CAN OCCUR BASED ON THE FAMILYS UNIQUE SITUATION. CARE COORDINATION IS THE BEST WAY TO KEEP PATIENTS COMPLIANT TO 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 16A, 16B &amp; 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>HOW HOSPITAL DETERMINES AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: FOR AMOUNTS BILLED TO INDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL USES A SLIDING SCALE DISCOUNT UP TO 500% OF FPL AND A DISCOUNT OF UP TO 50% OF POSTED RATES FOR PRIVATE PAY PATIENTS. AFTER THE 2016 FISCAL YEAR, THE HOSPITAL ADOPTED THE LOOK BACK METHOD TO ESTABLISH AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WHO HAD INSURANCE COVERING SUCH CARE. THE HOSPITAL WILL LIMIT THE AMOUNT CHARGED FOR CARE IT PROVIDES TO ANY INDIVIDUAL WHO IS ELIGIBLE FOR ASSISTANCE TO NOT MORE THAN AGB.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CLARITY CHILD GUIDANCE CENTER - OPC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2135 BABCOCK RD</AddressLine1Txt>
            <CityNm>SAN ANTONIO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78229</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT BEHAVIOR HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CLARITY CHILD GUIDANCE CLINIC - WH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10431 STATE HIGHWAY 151</AddressLine1Txt>
            <CityNm>SAN ANTONIO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78251</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT BEHAVIOR HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2015 TO 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXCLUDED IN CALCULATION OF PATIENT CARE COST TO CHARGES: BAD DEBT EXPENSE IN THE AMOUNT OF $406,003 WAS INCLUDED ON FORM 990, PART IV, LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE: THE BAD DEBT EXPENSE OF $406,003 ON LINE 2 IS THE BAD DEBT EXPENSE REPORTED FROM THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION: THE CENTER SERVES SAN ANTONIO IN BEXAR COUNTY AND THE SURROUNDING COUNTIES OF SEGUIN, LAREDO, DEL RIO, AUSTIN AND VICTORIA. THE CHILDRENS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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 30,411 OUTPATIENT PATIENT VISITS AND 21,295 HOSPITAL DAYS OF CARE FOR THE CHILDREN OF OUR COMMUNITY IN FISCAL YEAR 2016. THOUSANDS OF CHILDREN RECEIVED SERVICES AND AS A NONPROFIT, THEY WERE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR THE TREATMENT PROVIDED. WE ARE THE LARGEST PROVIDER OF CHILDRENS MENTAL HEALTH CARE IN THE REGION AND 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 109,000 VIEWS, AND 617,000 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, 545 PEOPLE FROM ACROSS THE COMMUNITY ATTENDED THESE SESSIONS TO GAIN CRITICAL KNOWLEDGE. WE ALSO PROVIDED 49 EDUCATION SESSIONS IN OTHER LOCATIONS IN THE COMMUNITY TO 1575 ATTENDEES AND HOSTED 62 BENCHMARKING TOURS FOR 307 PEOPLE. 24 UNITED WAY PRESENTATIONS WERE MADE TO 646 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. ATTENDEES GAVE THE OVERALL CONTENT OFFERED AT THE EVENT AN INCREDIBLE 96% SATISFACTION RATING. RANDI SILVERMAN, MOTHER, WRITER AND CO-PRODUCER OF THE AWARD-WINNING FILM "NO LETTING GO" SHARED HER STORY ABOUT THE EXPERIENCE OF RAISING A CHILD WITH MENTAL ILLNESS AND THE NEEDS OF FAMILIES LIKE HERS TO 350 PARTICIPANTS AT A ONE IN FIVE MINDS LUNCHEON NESTLED WITHIN THE CLARITYCON EVENT. OUR ONE IN FIVE MINDS CAMPAIGN TO END THE STIGMA OF CHILDREN'S MENTAL ILLNESS CELEBRATED ITS THIRD YEAR ANNIVERSARY. IT HAS INSPIRED OVER 4,000 PEOPLE TO TAKE THE PLEDGE TO END STIGMA AND INCREASE AWARENESS OF MENTAL ILLNESS. IN ADDITION, DURING THAT YEAR, OVER 15,000 PEOPLE VISITED THE WEBSITE TO LEARN ABOUT THE CAMPAIGN. THE SOCIAL MEDIA COMPONENT OF THE CAMPAIGN REACHED 7,300 FACEBOOK FANS AND GARNERED A TOTAL ENGAGEMENT OF 64,700 PEOPLE OVER 12 MONTHS. THE CAMPAIGN AWARENESS RATE AMONG PARENTS IN THE COMMUNITY HAS RISEN TO 5.5%, SINCE THE INCEPTION OF ONE IN FIVE MINDS WHILE CAMPAIGN AWARENESS AMONG PROFESSIONALS HAS GROWN FROM 40% LAST YEAR TO 48% THIS YEAR. THE ONE IN FIVE MINDS MESSAGE WAS PRESENTED AT SEVERAL PUBLIC EVENTS. IN MAY OF 2016 ONE IN FIVE MINDS ORGANIZED PINWHEELS FOR CHANGE, AS WE INVITED LOCAL AND NATIONALLY KNOWN ARTISTS TO CREATE 16, FOUR-FOOT WIDE AND 10-FOOT TALL PINWHEELS AND PLACED THROUGHOUT SAN ANTONIO TO CALL ATTENTION TO CHILDRENS MENTAL ILLNESS AND START CONVERSATIONS. THE EVENT WAS COVERED IN THE LOCAL MEDIA AND GENERATED NEARLY 50,000 IMPRESSIONS. 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 2016 WE ORGANIZED THE SECOND 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. IT GENERATED OVER 20,000 IMPRESSIONS AND 300 POSTS AND MENTIONS ACROSS SOCIAL MEDIA. OVERALL, WE GENERATED AN ESTIMATED 1.4M IMPRESSIONS FROM TV, PRINT AND RADIO COVERAGE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS</ExplanationTxt>
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          <BusinessNameLine1Txt>SERVICE ORGANIZATION OF SAN ANTONIO</BusinessNameLine1Txt>
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          <AddressLine1Txt>2950 50TH STREET</AddressLine1Txt>
          <CityNm>LUBBOCK</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <ExplanationTxt>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA.</ExplanationTxt>
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        <PersonNm>Gina Massey</PersonNm>
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        <PersonNm>Chris Bryan</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Geoffrey Gentry</PersonNm>
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        <PersonNm>Karl Koch</PersonNm>
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        <ExplanationTxt>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.</ExplanationTxt>
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      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>ARBITRAGE: ROMAN FOREST BONDS - REBATE COMPUTATION PERFORMED 8/18/2008</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 7 &amp; PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICIES &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>ground lease</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>100000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>fmv of land lease</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>schedule m, part i, line 25</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THE AMOUNT REPORTED IN THIS COLUMN IS THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS: CHANGE IN FV OF INTEREST RATE PROTECTION AGREEMENTS $(96,739) CHANGE IN INTEREST IN NET ASSETS OF SPP 83,306 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS (79,451) ------------- TOTAL $(92,884)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY CENTERS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8535 TOM SLICK DRIVE</AddressLine1Txt>
          <CityNm>SAN ANTONIO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78229</ZIPCd>
        </USAddress>
        <EIN>742454683</EIN>
        <PrimaryActivitiesTxt>SCH BEHV SPEC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCGC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOUTHWEST PSYCHIATRIC PHYSICIANS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8535 TOM SLICK DRIVE</AddressLine1Txt>
          <CityNm>SAN ANTONIO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78229</ZIPCd>
        </USAddress>
        <EIN>742706271</EIN>
        <PrimaryActivitiesTxt>PSYCH TRMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCGC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Charitable Trust (2)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>Trust</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>southwest psychiatric physicians</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>35192</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>southwest psychiatric physicians</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>913831</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>southwest psychiatric physicians</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>140458</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>