2015-02-11T12:30:49-08:00 2014-06-30 Blazek & Vetterling 2900 Weslayan Suite 200 Houston TX 770275132 990 2013-07-01 371453409 The Menninger Clinic MENN 7132755000 12301 Main Street Houston TX 77035 Kenneth Klein Sr. VP/CFO 2015-02-11 true Jody Blazek P00072674 7134395739 X 2013 2016-03-07 17:11:31Z Dr Ed Coffey 57700275 false false X www.menningerclinic.com X 2002 TX The Menninger Clinic provides specialty inpatient psychiatric hospital services that include programs for adults, young adults, and adolescents using evidence-based, contemporary, and psychodynamic treatment approaches. 16 16 525 0 2064883 2399339 51390342 55297130 432 3806 0 53455657 57700275 2000000 1500000 0 27197599 29121012 0 280552 25057090 27202522 54254689 57823534 -799032 -123259 78666771 76221511 37345494 35052874 41321277 41168637 X Menninger is a world leader in psychiatric treatment, research and education. false false 16886977 22769070 The Comprehensive Psychiatric Assessment Service Program (CPAS)at The Menninger Clinic works closely with adults and their families who are dealing with challenging psychiatric issues or crisis, particularly patients who have not responded to previous attempts at treatment and medication. The CPAS also works with patients who require a comprehensive assessment or second opinion. Our patients in the program for stabilization struggle with a variety of issues, including depression, anxiety, mania and cognitive issues.The program offers two distinct services: stabilization for acute symptoms and discharge planning and comprehensive assessment, diagnosis and recommendations for next steps. 11533222 13647400 The Menninger Clinic's Compass Program for Young Adults serves young adults, ages 18 to 30, who are having problems managing the transition from adolescence to adulthood. This inpatient treatment program lasts six to eight weeks.The Houston-based program is designed for young adults who struggle with one or more mental health issues, especially those co-occurring with addiction or substance abuse, including: Mood disorders such as depression or bipolar disorder, Anxiety, Post-traumatic stress disorder (PTSD), Gender identity and sexual issues, Emerging personality disorders such as borderline and narcissistic, Attention-deficit disorder (ADD), Dysfunctional reactions to developmental and life problems, Self-harm behavior such as cutting, Past suicide attempts or ideation, and Self-esteem issues. 9168435 10601176 The Hope Program for Adults at The Menninger Clinic helps adults with complex psychiatric issues that have hindered their capacity to meet important vocational, personal and interpersonal goals.The intensive hospital-based program offers a comprehensive approach to treat men and women with: Mood disorders, including major depressive and bipolar disorders,Anxiety disorders such as generalized and social anxiety disorders, Substance abuse or other addiction disorders, Personality disorders, such as borderline, narcissistic or dependent, Psychotic disorders beyond the acute phase of stabilization, and Trauma-related disorders. 14427733 1500000 8279484 52016367 true true false false false false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 46 0 true 525 true false false false false false false false false 0 false false false false false false false false false false X 16 16 false false false false true true false true true false false true true true true true true true true false X Kenneth Klein 7132755000 12301 Main Street Houston TX 77035 Robert C Wilson III Chairman 1.00 0.00 X X 0 0 0 Alan I Abramson Director 1.00 0.00 X 0 0 0 Alberta B Blecke Director 1.00 0.00 X 0 0 0 Philip J Burguieres Emeritus 1.00 0.00 X 0 0 0 Jerry R Grammer PhD Director 1.00 0.00 X 0 0 0 Maureen Hackett Director 1.00 1.00 X 0 0 0 Wayne H Holtzman PhD Emeritus 1.00 0.00 X 0 0 0 Linda D Jones Director 1.00 0.00 X 0 0 0 Harvey Kurzweil Director 1.00 0.00 X 0 0 0 John McKelvey Emeritus 1.00 0.00 X 0 0 0 Richard L Munich MD Director 1.00 0.00 X 0 0 0 Anand Pandya MD Director 1.00 0.00 X 0 0 0 Judson W Robinson III Director 1.00 0.00 X 0 0 0 Norman C Schultz Director 1.00 0.00 X 0 0 0 Marc J Shapiro Director 1.00 0.00 X 0 0 0 Susan Sportsman Director 1.00 0.00 X 0 0 0 Ian Aitken President & CEO 40.00 1.00 X 510364 0 30404 Shawna Morris Sr. VP Oper/COO 40.00 1.00 X 313519 0 18598 Kenneth Klein Sr. VP/CFO 40.00 1.00 X 294875 0 17500 Pamela Greene Sr. VP Pt Svc 40.00 0.00 X 242053 0 23613 Krishna Payne HR Director 40.00 0.00 X 158291 0 7525 Juanice Colwell Dir Pharmacy 40.00 0.00 X 149667 0 18445 Mohammad Karim Sr. Pharmacist 40.00 0.00 X 140680 0 13270 Nancy Palyo AVP Pt Care Svcs 40.00 0.00 X 139913 0 10397 Stephanie Cunningham Dir Business Dev 40.00 0.00 X 129611 0 18126 2078973 157878 29 false true false Tellepsen Builders LP 777 Benmar Drive Ste 400 Houston TX 77060 Gen. Contractor 686624 Baylor College of Medicine PO Box 201361 Houston TX 772161361 Clinic faculty 8718717 InSource Technologies 450 Gears Rd Houston TX 77067 IT Services 1837879 Mobile Modular Mgmt Corp P O Box 45043 San Francisco CA 94145 Gen. Contractor 864636 Texas Landscape PO Box 8743 Houston TX 77249 Grounds Maintenance 240697 7 2399339 2399339 Patient services 621990 55297130 55297130 55297130 3806 3806 0 0 0 0 0 0 0 0 57700275 55297130 3806 X 1500000 1500000 0 0 0 1450925 1253468 155339 42118 0 20369414 18124326 2245088 560433 496163 64270 5015864 4531679 484185 1724376 1590943 133433 0 283232 283232 0 0 0 0 14382292 13390636 941195 50461 315821 1035 314786 2087753 1837410 221021 29322 398533 301862 72586 24085 0 1273019 1241789 20987 10243 383551 149582 231182 2787 0 418968 209725 158117 51126 1190325 1150223 26949 13153 0 3930172 3797765 88979 43428 685211 662126 15513 7572 Food costs 687496 687496 Pharmacy 611572 611572 Bad debt expense 188886 188886 Patient activities 133777 133777 231914 155904 69753 6257 57823534 52016367 5526615 280552 26066 23306 6357942 6856154 0 740511 785948 0 0 1104158 133986 135906 303348 291361 73265553 11859520 63325154 61406033 0 0 0 0 7779764 5618645 78666771 76221511 4720457 4607152 29907540 27676540 312745 221379 2404752 2547803 37345494 35052874 X 41321277 41168637 41321277 41168637 78666771 76221511 X -123259 -29381 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39397722 2544302 4624110 883565 45682569 36005174 3212614 2630096 2450162 39397722 40057505 622057 288308 4962696 36005174 33273812 1412774 6746960 1376041 40057505 31655574 451386 3686363 2519511 33273812 0.43130 0.47770 0.09100 false true true 5201574 5201574 37892029 2116392 35775637 17691406 7427357 10264049 12480544 2315771 10164773 61406033 Bond Issuance Costs 564275 Due from Menninger Clinic Fdn 5054370 5618645 Derivative Agreements 1597373 Patient deposits/refunds payable 950430 2547803 68747426 13446490 13446490 55300936 2399339 2399339 57700275 57862564 1539030 1539030 56323534 1500000 1500000 57823534 Part V, Line 4: Intended uses of the endowment fund. Earnings on endowment funds are used to carry out the Menninger Clinic's mission of providing charitable support for clinical and educational purposes. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Revenue of MC Foundation $11495259 Unrealized investment gains of MCF $3603044 Investment management fees of MCF $-122432 Grant from Clinic to Foundation $-1500000 Change in value of derivative agreement $-29381 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant from MCF to Clinic $2399339 Part XII, Line 2d: Other expenses and losses per audited F/S Expenses of MC Foundation $3938369 Grant from MC Foundation to Clinic $-2399339 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant to Clinic from MC Foundation $1500000 true true X true X false true true true false true true 6 2199791 2199791 0.03800 6 2199791 2199791 0.03800 4 823785 823785 0.01420 4 823785 823785 0.01420 10 3023576 3023576 0.05220 true 188885 true true 1 1 The Menninger Clinic 12301 Main Street Houston TX 77035 www.menningerclinic.com 100144 X Freestanding psychiatric hospital The Menninger Clinic 1 true X X X X X X X 13 true false true X www.menningerclinic.com X X X X X X X true false false true true 300.0000 false true X true true X X X X true false false X X false false Part V, Line 3 - Account Input from Person Who Represent the Community The Clinic obtained information from the following sources/associations:Membership in the Network for Behavioral Health Providers in Harris County, TX in which CEOs of public and private mental health providers share data and market information. Members of the Network are executive directors and officers of the following organizations:Asian American Family ServicesBaylor College of MedicineCareer and Recovery Resources, Inc.The Center for Success and IndependenceCouncil on Alcohol and Drugs HoustonCrisis Intervention of Houston, Inc.DePelchin Childrens CenterFamily Services of Greater HoustonFort Bend Regional Council on Substance Abuse, Inc.Harris Health SystemHouston Galveston InstituteIntraCare Behavioral Health FoundationJewish Family ServiceLegacy Community Health ServicesThe Menninger ClinicMental Health America of Greater HoustonMHMRA of Harris CountyThe Methodist HospitalThe Montrose CenterSanta Maria Hostel, Inc.SEARCH Homeless ServicesSt. Joseph Medical CenterVolunteers of America Texas, Inc.The Womens HomeQuarterly meetings and data review of constituents served jointly by Menninger and the FQHC, three integrated medical care homes operated by Texas Children's Pediatric Associates and the outpatient services offered by Windsor Village United Methodist Church in Menninger's catchment area within Houston. Quarterly or semi-annual meetings with representatives of MHMRA of Harris County and Mental Health America of Greater Houston. Part V, Line 11 - Criteria Used For Discounted Care If Not FPG The Clinic provides a 50% discount to individuals considered to be medically indigent. Part V, Line 12h - Other Factors Used in Determing Amounts Charged Patients Patients are normally charged a per diem amount approximately equivalent to the Clinic's estimated costs to provide care. Patients qualifying as financially indigent under the policy are not charged any amounts for their care. Patients qualifying as medically indigent under the policy are charged 50% of the normal per diem amount. Part V, Line 14g - Other Means Hospital Facility Publicized the Policy The Clinic provides copies of the policy to the Mental Health and Mental Retardation Authority of Harris County and local hospitals who may encounter individuals in need of mental health care. Part V, Line 20d - Other Billing Determination of Individuals Without Insurance Patients are normally charged a per diem amount approximately equivalent to the Clinic's estimated costs to provide care. Patients qualifying as financially indigent under the policy are not charged any amounts for their care. Patients qualifying as medically indigent under the policy are charged 50% of the normal per diem amount. Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) The Menninger Clinic has developed a relationship with local, regional and national referral sources for referring patients for inpatient charity care:a. The referral source will contact Admissions office to refer a potential patient.b. The Admissions office will screen potential patients according to the Clinic's eligibility criteria and the availability of charity care services.c. The Admissions office and the Director of Admissions will determine the capability of the Clinic to treat the applicant.d. The Admissions office shall notify the referral source whether the applicant has been accepted by the Clinic within 12 hours of the Clinic's receipt of the application.If the applicant is denied admission to the Clinic, the referral source may appeal the Clinic's decision by submitting a written request for review of such decision with the Clinic's Review Committee within two (2) days of the receipt of notice of the initial refection. The Clinic Review Committee is comprised of the Chief Operating Officer of the Clinic and the Medical Director/Chief of Staff. The Clinic Review Committee has full discretion as to when and how it shall act on an appeal.The decision of the Clinic Review Committee is final. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The amount of bad debt expense recorded each period and the resulting adequacy of the allowance at the end of each period are determined using a combination of historical loss experience and customer-by-customer analysis of accounts receivable balances each period. Part III, Line 4 - Bad Debt Expense Patient accounts receivable are reported at their estimated net collectible value, after adjustments for contractual allowances and allowances for doubtful accounts. In evaluating the collectability of accounts receivable, Menninger analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for doubtful accounts. Management regularly reviews data about these major payor 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, Menninger analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors 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), Menninger records a provision for bad debts in the period of service on the basis of its past experience. The difference between the standard rates (or the discounted rates, if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. It is possible that managements estimate regarding collectability will change in the near term resulting in a change in the carrying value of patient accounts receivable. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Each patient's financial status is determined prior to admission as to whether they qualify for financial assistance. If an amount is overdue and the patient does not qualify for financial assistance, the Clinic exhausts all efforts to contact and negotiate with patient to send balance. Then the Clinic sends up to three collection letters requesting payment. If no response is received, the Clinic sends the account to Collections and writes the amount off as bad debt. Part VI - Needs Assessment Annual community needs assessment reports from local agencies, leadership and participation in trade organizations, internal customer service and satisfaction data and market analysis through business development department. Part VI - Patient Education of Eligibility for Assistance Information is posted on website and available through the Menninger access center. Part VI - Community Information Local, regional, and national patients suffering from mental illness who qualify according to the admission criteria. There are no geographic or demographic limitations for our service area. Part VI - Community Building Activities N/A Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Continuing education programs in the local, regional, and national market and clinical presentations; active membership and/or leadership in trade organizations. Part VI - Affilated Health Care System Roles and Promotion N/A Part VI - States Where Community Benefit Report Filed TX Part V - Explanation of Number of Facility Type The organization only has one facility. true The Menninger Clinic Fd 12301 Main Street Houston TX 77035 810588012 501(c)(3) 1500000 0 General support 1 0 Grantmaker's Description of How Grants are Used The organization only makes grants to its supporting organization. The close relationship between the organizations serves to monitor the use of the funds. X X X X false false false false false false false false false false Ian Aitken President & CEO 410000 75000 25364 17000 13404 540768 Juanice Colwell Dir Pharmacy 145264 4136 267 12086 6359 168112 Kenneth Klein Sr. VP/CFO 247000 45000 2875 17500 312375 Krishna Payne HR Director 152576 4498 1217 7525 165816 Mohammad Karim Sr. Pharmacist 127531 3789 9360 9381 3889 153950 Nancy Palyo AVP Pt Care Svcs 135020 3844 1049 6751 3646 150310 Pamela Greene Sr. VP Pt Svc 193500 40000 8553 19500 4113 265666 Shawna Morris Sr. VP Oper/COO 256500 45000 12019 17498 1100 332117 A Harris Co Cult Ed Fac 760337885 2010-12-23 21000000 Construction of Hlth Facility false false true B Harris Co Cult Ed Fac 760337885 2010-12-23 14000000 Construction of Hlth Facility false false true A 21000000 420520 20579480 2012 false false true true B 6693460 14000000 70668 13929332 2012 false false true true A false false false false false false true B false false false false false false true A false false false false true BBVA Compass 8.5000 false false false false false B false false false false false false false false A true B true Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: The Comprehensive Psychiatric Assessment Service Program (CPAS)at The Menninger Clinic works closely with adults and their families who are dealing with challenging psychiatric issues or crisis, particularly patients who have not responded to previous attempts at treatment and medication. The CPAS also works with patients who require a comprehensive assessment or second opinion. Our patients in the program for stabilization struggle with a variety of issues, including depression, anxiety, mania and cognitive issues.The program offers two distinct services: stabilization for acute symptoms and discharge planning and comprehensive assessment, diagnosis and recommendations for next steps. OTHER PROGRAM SERVICES 5: The Menninger Clinic provides meals and medicine as part of its inpatient programs. OTHER PROGRAM SERVICES 6: Pathfinder is a Community Integration program designed to provide therapeutic support to clients with a history of mental illness. Clients receive individual, family and group therapies to create a highly individualized approach to treatment. Additionally, clients are offered a choice of either living with additional therapeutic support in the Pathfinder apartment or in the more independent and self-directed day program. OTHER PROGRAM SERVICES 7: Menningers Adolescent Treatment Program treats adolescents ages 12-17 who have complex psychiatric disorders or co-occurring disorders, that is, a psychiatric disorder coupled with substance abuse or dependence. The program has 15 beds. With its wide-ranging clinical expertise, the programs interdisciplinary treatment team stabilizes acute symptoms to help identify core issues and determine next steps in treatment. The team offers in-depth assessments when an adolescents diagnosis is unclear or when a second opinion is needed. The team administers extensive psychological testing, and neuropsychological testing is also available. Specialized, on-site consultation, when appropriate, addresses both addictions or substance abuse and eating-disorder behaviors. OTHER PROGRAM SERVICES 8: Addictions Services: At Menninger, roughly 65 percent of patients have an addiction or substance abuse issue in addition to their primary psychiatric diagnoses. For these patients, the treatment teams and their addictions counselors integrate treatment for the co-occurring disorders simultaneously rather than treating the disorders sequentially. Our master's-prepared addictions counselors are an integral part of each programs interdisciplinary treatment team. They help develop individualized treatment plans and counsel adolescents and adults with co-occurring disorders, following patients from assessment through discharge planning for substance-related, gambling, sexual, spending, technology and other addictions. OTHER PROGRAM SERVICES 9: Eating Disorders Services: Our Eating Disorders Services are designed to support Menninger patients who have a co-existing eating disorder or whose eating-disorder behaviors have resurfaced during inpatient treatment for major depression, anxiety or other mental illness. OTHER PROGRAM SERVICES 10: Wellness: At The Menninger Clinic, our focus is on treating patients psychiatric illnesses. Exercise is an important aspect of treatment, as its been proven to reduce stress, improve sleep habits and influence self-esteem. To encourage patients to engage in exercise, Menninger offers a Wellness Center with an array of features that offers something for everyone. The Wellness Program also offers lectures on healthy eating, stress management, cardiac care and other topics related to mental and physical health. OTHER PROGRAM SERVICES 11: Outpatient Assessments: A four and one-half-day (4.5-day) outpatient assessment is available for anyone seeking a greater understanding of their symptoms and current issues in their personal or work life. The outpatient assessments team takes a look at the questions posed by you and the medical, genetic, psychological and social issues that may affect your current situation, health and well-being.Outpatient Therapy: We offer a range of outpatient therapy services for children, adolescents, adults, couples and families at The Menninger Clinic, including: Individual, group, marital and family psychotherapy, Dialectical behavior therapy, Cognitive behavioral therapy, Psychological testing, Substance abuse assessment, counseling and education, and Vocational assessment and education plus career counseling. OTHER PROGRAM SERVICES 12: The Gathering Place: In the fall of 2010, The Gathering Place, a psychosocial clubhouse, joined the array of Menninger programs. It is located about one mile from The Menninger Clinic. The Gathering Place provides free psychosocial rehabilitative services to more than 300 clubhouse members with severe and persistent mental illness. The most prevalent diagnoses among our members are schizophrenia, schizoaffective disorder, bipolar disorder and depression. The program provides support to its adult members through: Vocational skills training, Employment assistance, A wellness program, and Recreational and social activities. OTHER PROGRAM SERVICES 13: Professional Assessments: An inpatient Professional Assessment at Menninger is a diagnostic service designed to assess individuals struggling with issues including:Drug or alcohol addiction, Psychiatric and co-occurring disorders, Sexual boundary violations, Disruptive behavior in the workplace, and Career stress and burnout. OTHER PROGRAM SERVICES 14: The Clinic also made a grant to its related organization, The Menninger Clinic Foundation. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Menninger Clinic Membership Foundation and Baylor College of Medicine are the only Members of the Clinic. Form 990, Part VI, Line 11b: Form 990 Review Process The CEO and Treasurer/CFO review the Form 990 prior to providing a copy to the entire board and filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Annual disclosure by members of the board of directors of any potential conflict of interest is required. Review of accounting transactions and contractual agreements for potential instances of conflict of interest is conducted. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The Human Resources department collects compensation data for similar positions in similar type organizations in the market area. In addition, independent consultants have reviewed corporate officer compensation and determined such compensation to be fair. This information is reported to the board of directors, who makes the final determination of compensation for officers. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees See above process described in the response for 15a which is also followed for these individuals. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available These documents are made available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Decreases Change in value of derivative agreement = -$29381 The Menninger Clinic Incorporated 12301 Main Street Houston TX 77035 481036668 Mental Health KS 501(c)(3) PF N/A false Menninger Foundation 12301 Main Street Houston TX 77035 480543752 Mental Health KS 501(c)(3) 509(a)(1) N/A false The Menninger Clinic Foundation 12301 Main Street Houston TX 77035 810588012 Mental Health TX 501(c)(3) 509(a)(1) The Menninger Clinic true Menninger Clinic Membership Fd 12301 Main Street Houston TX 77035 462405713 Mental Health KS 501(c)(3) 170(b)(1)(A)(iv) N/A false false true true false false false false false false false false true true true true false true true true The Menninger Clinic Incorporated b 1500000 Cash The Menninger Clinic Incorporated c 2399339 Cash