CLARITY CHILD GUIDANCE CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: CLARITY CHILD GUIDANCE CENTER (EIN 74-1153067)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-03-23
IRS object ID: 202440839349300709
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-03-23T10:40:59+00:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 DALLAS PARKWAY SUITE 1100	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75254	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741153067	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLARITY CHILD GUIDANCE CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CLAR	BusinessNameControlTxt
Phone	2106160300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8535 TOM SLICK DRIVE	AddressLine1Txt
City	SAN ANTONIO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	782293363	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JESSICA KNUDSEN	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Signature	2024-03-23	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEANETTE VERRELLI	PreparerPersonNm
PTIN	P00742631	PTIN
Phone	9727028262	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JESSICA KNUDSEN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8535 TOM SLICK DRIVE	AddressLine1Txt
City	SAN ANTONIO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	782293363	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$30,632,766	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CLARITYCGC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1886	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL AND/OR PSYCHIATRIC DISORDERS.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	411	TotalEmployeeCnt
Total Volunteers	19	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,383,949	PYContributionsGrantsAmt
CY Contributions Grants	$3,984,527	CYContributionsGrantsAmt
PY Program Service Revenue	$28,704,010	PYProgramServiceRevenueAmt
CY Program Service Revenue	$26,161,402	CYProgramServiceRevenueAmt
PY Investment Income	$262,068	PYInvestmentIncomeAmt
CY Investment Income	$361,193	CYInvestmentIncomeAmt
PY Other Revenue	$257,657	PYOtherRevenueAmt
CY Other Revenue	$125,644	CYOtherRevenueAmt
PY Total Revenue	$31,607,684	PYTotalRevenueAmt
CY Total Revenue	$30,632,766	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$17,486,971	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$19,068,762	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$52,663	CYTotalFundraisingExpenseAmt
PY Other Expenses	$10,420,099	PYOtherExpensesAmt
CY Other Expenses	$11,635,289	CYOtherExpensesAmt
PY Total Expenses	$27,907,070	PYTotalExpensesAmt
CY Total Expenses	$30,704,051	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,700,614	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$71,285	CYRevenuesLessExpensesAmt
Total Assets BOY	$37,669,586	TotalAssetsBOYAmt
Total Assets EOY	$41,932,131	TotalAssetsEOYAmt
Total Liabilities BOY	$18,335,493	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$21,899,049	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$19,334,093	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$20,033,082	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$27,390,122	ExpenseAmt
Revenue	$26,219,093	RevenueAmt
Desc	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 19,477 INPATIENT DAYS, 5,503 PARTIAL HOSPITALIZATION DAYS, 12,327 OUTPATIENT VISITS AND PROVIDED CHARITY CARE, INDIGENT HEALTH CARE AND OTHER COMMUNITY BENEFITS DURING THE FISCAL YEAR. THE NET PATIENT REVENUE BEFORE CHARITY AND BAD DEBT WAS $20,176,049 FOR INPATIENT CARE, $2,048,954 FOR THE PARTIAL HOSPITALIZATION PROGRAM, AND $921,087 FOR OUTPATIENT CARE.	Desc
Total Program Service Expenses	$27,390,122	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	65	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	411	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DERRICK FLOWERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2106160300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8535 TOM SLICK DRIVE	AddressLine1Txt
City	SAN ANTONIO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78229	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Angela Holliday
VICE CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Joanna Weidman
IMMEDIATE PAST CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Reed Hurley
CHAIR ELECT & TREASURER	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Shanna Ramirez
SECRETARY	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Tony LoBasso
CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Adele Glenn
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Alexander Rapp
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Ami Gordon
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Ashley Dahlberg
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Benjamin Scott
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Blakeley Fernandez
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
John Seybold
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Justice Luz Elena Chapa
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Mesha Millsap
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Peggy Deming
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Rachel Belmares
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Sharen Denson
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Tammy Fulgham
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Vanessa Hurd
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Carol Carver
VP PATIENT SERVICES	40.0	0		Yes (X)	$174,700	$0	$19,908
Chris Bryan
VP INFORMATION TECH	40.0	0		Yes (X)	$154,017	$0	$4,160
Derrick Flowers
VP FINANCE	40.0	0		Yes (X)	$180,148	$0	$3,481
Geoffrey Gentry
VP CLINICAL SERVICES	40.0	0		Yes (X)	$169,582	$0	$14,048
Gina Massey
VP HUMAN RESOURCES	40.0	0		Yes (X)	$148,788	$0	$7,093
Jessica Knudsen
PRESIDENT/CEO	40.0	0		Yes (X)	$194,072	$0	$29,479
Melissa Mirales
VP - Marketing & Development	40.0	0		Yes (X)	$40,827	$0	$4,412
Cynthia Diaz deLeon
PSYCHOLOGIST	40.0	0			$115,734	$0	$4,394	Yes (X)
Joe Nerios
DIRECTOR- NURSING SERVICES	40.0	0			$136,243	$0	$2,239	Yes (X)
Poul Poulsen
DIRECTOR OP SERVICES	40.0	0			$104,814	$0	$10,838	Yes (X)
Rick Edwards
DIRECTOR IP PROGRAMS	40.0	0			$115,606	$0	$13,291	Yes (X)
Will Guy
DIRECTOR OP TRAINING	40.0	0			$105,700	$0	$2,002	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,640,231	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$115,344	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	16	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Southwest Psychiatric Physicians
8535 Tom Slick Dr	San Antonio	TX	78229	Physician Services	$1,623,141
Prince Food
11001 Wilcrest Dr Suite 200	Houston	TX	77099	Food services	$766,320
Alamo City Contracting LLC
5265 NFM 3465	Adkins	TX	78101	Site Preparation	$682,462
Netsmart Technologies Inc
POBox 823519	Philadelphia	PA	19182	Healthcare	$463,987
FA Nunnelly Company
922 N PanAm Expy	San Antonio	TX	78208	Construction	$402,095

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$3,984,527	AllOtherContributionsAmt
Noncash Contributions	$100,000	NoncashContributionsAmt
Total Contributions	$3,984,527	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Fees	621110	$25,723,904	$25,723,904
Physician Office Rental	531120	$209,597	$209,597
Support Personnel/Service	900099	$227,901	$227,901

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$26,161,402	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$361,193	TotalRevenueColumnAmt
Exclusion	$361,193	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Lunch Tickets	721210	$35,486	$35,486
Medical Records	561000	$10,778		$10,778
Insurance Proceeds	900099	$32,467	$32,467

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,913	TotalRevenueColumnAmt
Related Or Exempt Func Income	$46,913	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$125,644	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,632,766	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,219,093	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$429,146	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,324,240	TotalAmt
Management And General	$1,324,240	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$14,824,004	TotalAmt
Program Services	$14,334,286	ProgramServicesAmt
Management And General	$484,784	ManagementAndGeneralAmt
Fundraising	$4,934	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$289,501	TotalAmt
Program Services	$267,512	ProgramServicesAmt
Management And General	$21,468	ManagementAndGeneralAmt
Fundraising	$521	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,468,330	TotalAmt
Program Services	$1,352,510	ProgramServicesAmt
Management And General	$113,187	ManagementAndGeneralAmt
Fundraising	$2,633	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,162,687	TotalAmt
Program Services	$1,045,298	ProgramServicesAmt
Management And General	$117,022	ManagementAndGeneralAmt
Fundraising	$367	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$55,769	TotalAmt
Management And General	$55,769	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$93,471	TotalAmt
Program Services	$27,438	ProgramServicesAmt
Management And General	$65,991	ManagementAndGeneralAmt
Fundraising	$42	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$112,071	TotalAmt
Management And General	$112,071	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,523	TotalAmt
Management And General	$1,523	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$22,274	TotalAmt
Program Services	$17,354	ProgramServicesAmt
Management And General	$4,886	ManagementAndGeneralAmt
Fundraising	$34	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,857,097	TotalAmt
Program Services	$3,782,407	ProgramServicesAmt
Management And General	$70,679	ManagementAndGeneralAmt
Fundraising	$4,011	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$95,072	TotalAmt
Program Services	$11,712	ProgramServicesAmt
Management And General	$54,610	ManagementAndGeneralAmt
Fundraising	$28,750	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$226,662	TotalAmt
Program Services	$149,208	ProgramServicesAmt
Management And General	$77,183	ManagementAndGeneralAmt
Fundraising	$271	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$44,375	TotalAmt
Program Services	$39,061	ProgramServicesAmt
Management And General	$5,238	ManagementAndGeneralAmt
Fundraising	$76	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,521,671	TotalAmt
Program Services	$1,319,078	ProgramServicesAmt
Management And General	$200,163	ManagementAndGeneralAmt
Fundraising	$2,430	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$11,672	TotalAmt
Program Services	$7,388	ProgramServicesAmt
Management And General	$2,672	ManagementAndGeneralAmt
Fundraising	$1,612	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$14,752	TotalAmt
Program Services	$13,003	ProgramServicesAmt
Management And General	$1,724	ManagementAndGeneralAmt
Fundraising	$25	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$672,031	TotalAmt
Program Services	$591,555	ProgramServicesAmt
Management And General	$79,324	ManagementAndGeneralAmt
Fundraising	$1,152	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,685,030	TotalAmt
Program Services	$1,483,248	ProgramServicesAmt
Management And General	$198,894	ManagementAndGeneralAmt
Fundraising	$2,888	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$407,993	TotalAmt
Program Services	$359,136	ProgramServicesAmt
Management And General	$48,158	ManagementAndGeneralAmt
Fundraising	$699	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Program Supplies	$1,330,909	$1,278,816	$51,357	$736
Equipment Expenses	$194,031	$171,873	$21,964	$194
Bad Debt Expense	$1,280,377	$1,134,158	$144,939	$1,280

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,509	TotalAmt
Program Services	$5,081	ProgramServicesAmt
Management And General	$3,420	ManagementAndGeneralAmt
Fundraising	$8	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,704,051	TotalAmt
Program Services	$27,390,122	ProgramServicesAmt
Management And General	$3,261,266	ManagementAndGeneralAmt
Fundraising	$52,663	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,671,434	BOYAmt
EOY	$831,876	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$7,465,565	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$316,587	BOYAmt
EOY	$1,233,422	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,068,468	BOYAmt
EOY	$2,374,701	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,824,199	BOYAmt
EOY	$31,663	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$87,087	BOYAmt
EOY	$87,086	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$37,526	BOYAmt
EOY	$49,867	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$39,721,763	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$19,841,375	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$20,410,412	BOYAmt
EOY	$19,880,388	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$6,022,783	BOYAmt
EOY	$6,818,326	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$182,982	BOYAmt
EOY	$152,106	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,048,108	BOYAmt
EOY	$3,007,131	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,669,586	BOYAmt
EOY	$41,932,131	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,762,533	BOYAmt
EOY	$8,493,667	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$104,825	BOYAmt
EOY	$536,273	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,954,050	BOYAmt
EOY	$3,638,205	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$8,414,102	BOYAmt
EOY	$8,219,730	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$99,983	BOYAmt
EOY	$1,011,174	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,335,493	BOYAmt
EOY	$21,899,049	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,515,229	BOYAmt
EOY	$16,129,757	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,818,864	BOYAmt
EOY	$3,903,325	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$19,334,093	BOYAmt
EOY	$20,033,082	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$37,669,586	BOYAmt
EOY	$41,932,131	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$71,285	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$668,208	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$102,066	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,523	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,523	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$27,388,599	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$27,390,122	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$497	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$1,523	CurrentYearAmt
Total	$2,020	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,158,412	OtherCostOrOtherBasisAmt
Depreciation	$16,038,477	DepreciationAmt
Book Value	$18,119,935	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,744	OtherCostOrOtherBasisAmt
Book Value	$6,744	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,714,766	OtherCostOrOtherBasisAmt
Depreciation	$2,937,465	DepreciationAmt
Book Value	$777,301	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,841,841	OtherCostOrOtherBasisAmt
Depreciation	$865,433	DepreciationAmt
Book Value	$976,408	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$19,880,388	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN SPP	$1,051,972
BENEFICIAL INTEREST IN PERPETUAL TRUST	$1,057,125
INT. RATE PROTECTION AGREEMENT	$41,077
ROU Operating Lease	$856,957

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,007,131	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ROU OPERATING LEASE LIABILITY	$861,633
DUE TO AFFILIATE	$149,541

Field	Value	IRS element (for citing)
Total Liability	$1,011,174	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$28,193,952	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$668,208	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$204,050	DonatedServicesAndUseFcltsAmt
Other Revenue	-$642,926	OtherRevenueAmt
Revenue Not Reported	$229,332	RevenueNotReportedAmt
Revenue Subtotal	$27,964,620	RevenueSubtotalAmt
Other Revenues Not Included	$2,668,146	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,668,146	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$30,632,766	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$29,627,724	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$204,050	DonatedServicesUseFcltsAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$204,050	ExpensesNotReportedAmt
Expenses Subtotal	$29,423,674	ExpensesSubtotalAmt
Other Expenses Not Included	$1,280,377	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,280,377	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$30,704,051	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2(d) Other revenues in audited financial statements not in form 990	NET ASSETS RELEASED FROM RESTRICTIONS - 565908 CHANGE IN INTEREST IN NET ASSETS OF SPP - 71543 BAD DEBT EXPENSE - -1280377
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	CONTRIBUTIONS IN NET ASSETS WITH DONOR RESTRICTIONS - 2668146
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	BAD DEBT EXPENSE - 1280377

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$313,113	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$313,113	NetCommunityBenefitExpnsAmt
Total Expense	0.0106	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,365,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,861,215	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,394,554	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$916,359	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$478,195	NetCommunityBenefitExpnsAmt
Total Expense	0.0163	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$18,072,851	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,777,574	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$791,308	NetCommunityBenefitExpnsAmt
Total Expense	0.0269	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$844,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$844,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0287	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$204,050	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$204,050	NetCommunityBenefitExpnsAmt
Total Expense	0.0069	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,048,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,048,050	NetCommunityBenefitExpnsAmt
Total Expense	0.0356	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$19,120,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,777,574	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,839,358	NetCommunityBenefitExpnsAmt
Total Expense	0.0625	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,280,377	BadDebtExpenseAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLARITY CHILD GUIDANCE CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8535 TOM SLICK DRIVE	AddressLine1Txt
City	SAN ANTONIO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78229	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CLARITYCGC.ORG	WebsiteAddressTxt
State License	000737	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CLARITY CHILD GUIDANCE CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.claritycgc.org/COMMUNITY-REPORTS/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.CLARITYCGC.ORG/COMMUNITY-REPORTS/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule H, Part V, Section B, Line 5 Facility , 1

Facility , 1 - CLARITY CHILD GUIDANCE CENTER. CLARITY CHILD GUIDANCE CENTER (CCGC) CONDUCTED MULTIPLE MEETINGS AND INTERVIEWS WITH KEY STAKEHOLDERS IN THE COMMUNITY. THE PROCESS INVOLVED COLLECTION AND ANALYSIS OF DATA SPECIFICALLY RELATED TO CHILDREN'S MENTAL HEALTH, AS CCGC IS A UNIQUE, SPECIALTY CARE HOSPITAL SERVING THE NEEDS OF CHILDREN WITH SEVERE MENTAL ILLNESSES, REPRESENTING AGES 3 TO 17. ADDITIONALLY THE PROCESS ALSO INVOLVED REVIEW OF REPORTS INCLUDING EXTENSIVE INTERVIEWS WITH STAKEHOLDERS THAT HAVE SPECIFIC KNOWLEDGE AND/OR RESPONSIBILITY TO THE WELL-BEING OF OUR COMMUNITY IN RELATION TO MENTAL HEALTH CARE. COMMUNITY INPUT WAS PROVIDED THROUGH THE REVIEW OF RECENT STAKEHOLDERS AND COMMUNITY STUDIES SHOWING THE NEEDS, CHALLENGES, AND OPPORTUNITIES IN OUR REGION. IT INCLUDES REPORTS FROM THE MEADOWS MENTAL HEALTH POLICY INSTITUTE (2019) AND WORK FROM THE CENTER FOR YOUNG MINDS AT THE SAN ANTONIO ECUMENICAL CENTER. THE CENTER FOR YOUNG MINDS ALSO CONDUCTED A SERIES OF WORKSHOPS WITH NEARLY 90 COMMUNITY LEADERS FROM 45 ORGANIZATIONS IN ORDER TO DEVELOP AND PRIORITIZE STRATEGIES TO IMPROVE YOUTH MENTAL HEALTH IN OUR COMMUNITY. THE GROUP IDENTIFIED 5 KEY INDICATORS THAT MATTERED IN DETERMINING WAYS TO MEASURE IMPROVEMENT. COMMUNITY INPUT WAS COLLECTED FROM THREE MAIN SOURCES: THE BEXAR COUNTY CHILDREN AND YOUTH RAPID BEHAVIORAL HEALTH ASSESSMENT PRODUCED BY THE MEADOWS MENTAL HEALTH POLICY INSTITUTE; YOUTH VOICES - REPORT ON BEHAVIORAL HEALTH FROM THE CENTER FOR YOUNG MINDS AT THE ECUMENICAL CENTER IN SAN ANTONIO (NOVEMBER 2020); & THE CENTER FOR YOUNG MINDS' SURVEY AND REPORT OF PRIORITIZING FACTORS & STRATEGIES CONDUCTED IN 2020.

Schedule H, Part V, Section B, Line 11 Facility , 1

Facility , 1 - CLARITY CHILD GUIDANCE CENTER. FROM THE LAST PUBLISHED CHNA, WE HAVE IMPLEMENTED THE FOLLOWING INITIATIVES: OPENING OF A CRISIS ASSESSMENT CENTER ON OUR MAIN CAMPUS WHICH INCLUDES SIX OBSERVATION BEDS FOR EXTENDED ASSESSMENTS AND CRISIS STABILIZATION (NOVEMBER 2015) AND 24-HOUR STAFFING; IMPLEMENTATION OF A TELEPSYCHIATRY RELATIONSHIP WITH A HOUSTON-BASED ORGANIZATION TO ADD ADDITIONAL PSYCHIATRY SUPPORT TO OUR ASSESSMENT AND ADMITTING PROCESSES; WE ALSO ADDED SEVERAL NURSE PRACTITIONERS TO CONTINUE ADDRESSING THE SEVERE PSYCHIATRIST SHORTAGE. CLARITY CHILD GUIDANCE CENTER'S LEADERSHIP EVALUATED THE OPPORTUNITIES REVEALED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND WITH THE GUIDANCE OF THE BOARD OF DIRECTORS, DEVELOPED A STRATEGIC PLAN TO ADDRESS GAPS IN THE COMMUNITY. ITEMS PRIORITIZED WERE THE FOLLOWING: 1. CONTINUE INVESTING IN DEVELOPMENT TO ENABLE SYSTEMIC AND REPEATABLE FUNDING STREAMS TO OUR EXISTING BUSINESS MODEL OF BILLING INSURANCE COMPANIES. 2. EXPLORE METHODS TO INCREASE ACCESS TO CARE, KNOWING THAT A SEVERE SHORTAGE OF PSYCHIATRISTS AND OTHER MENTAL HEALTH PROFESSIONALS HAS BEEN AN ONGOING SOCIETAL ISSUE. 3. EXPAND LEVELS OF CARE AND TYPES OF CARE IN THE COMMUNITY WITH FAMILY-FRIENDLY ACCESS POINTS, SUCH AS THROUGH THE CONTACT CENTER OR THE FIRST STEP PROGRAM. 4. DEEPEN THE RELATIONSHIPS AND OUTREACH RELATED TO ONE IN FIVE MINDS, CLARITY CGC'S SIGNATURE EDUCATION AND AWARENESS CAMPAIGN, AND THROUGH PROFESSIONAL TRAINING EVENTS TO END THE STIGMA OF MENTAL ILLNESS. 5. CONTINUE DEVELOPING THE NEXT STEP CENTER TO PROMOTE MORE EFFECTIVE UTILIZATION OF HEALTH SERVICES FOR CHILDREN AT HIGH RISK. 6. EXPLORE THE NEED FOR ADDITIONAL INPATIENT BEDS, SPECIFICALLY FOR YOUTH WITH SERIOUS SYMPTOMS REQUIRING INTENSIVE INTERVENTION.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE -MEDICAL INDIGENCY -INSURANCE STATUS -UNDERINSURANCE STATUS
Schedule H, Part I, Line 7	COST METHODOLOGY: THE AMOUNTS REPORTED ON THE TABLE ON PART I, LINE 7 WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM COMPLETING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM THE IRS INSTRUCTIONS. COSTS COMPUTED ON WORKSHEETS 4 AND 8 WERE DIRECT COSTS BOOKED TO THE HOSPITAL'S INCOME STATEMENT AND SUPPLEMENTAL COST REPORT SCHEDULES.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	1280377
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT EXPENSE AND THE ASSOCIATED ACCOUNTS RECEIVABLE ALLOWANCE AMOUNTS ARE VALUED AT ONE PERCENT OF NET PATIENT REVENUE (GROSS REVENUE-CONTRACTUAL ALLOWANCES) BEFORE CHARITY CARE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	NOT APPLICABLE DUE TO ADOPTION OF ASC TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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 V, Section B, Line 16a FAP website	- CLARITY CHILD GUIDANCE CENTER: Line 16a URL: HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- CLARITY CHILD GUIDANCE CENTER: Line 16b URL: HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- CLARITY CHILD GUIDANCE CENTER: Line 16c URL: HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/;
Schedule H, Part VI, Line 2 Needs assessment	PERIODICALLY, A SURVEY IS SENT TO AREA PROVIDERS, CLIENTS AND ORGANIZATIONS ASKING WHAT NEEDS ARE NOT BEING ADDRESSED IN THEIR AREAS OF PRACTICE. INFORMATION IS ALSO USED FROM THE HEALTH COLLABORATIVE STATE OF THE COUNTY REPORT, METRO HEALTH REPORTS AND THE TEXAS SUICIDE PREVENTION REPORTS. MARKET RESEARCH IS CURRENTLY BEING DONE TO TARGET HIGH NEED AREAS WITHIN THE CITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	EVERY FAMILY IS ASSIGNED A CASE MANAGER THAT WORKS WITH THE FAMILY TO DETERMINE ANY RESOURCES FOR WHICH THEY MAY BE ELIGIBLE. THE CASE WORKER THEN WORKS WITH THE FAMILY TO COMPLETE ANY PAPERWORK BEFORE DISCHARGE. ADDITIONALLY, ALL FAMILIES ARE OFFERED SLIDING SCALE SERVICE FEES IF THEY QUALIFY UNDER THE CURRENT FEDERAL POVERTY GUIDELINES.
Schedule H, Part VI, Line 4 Community information	THE CENTER SERVES SAN ANTONIO LOCATED IN BEXAR COUNTY AND THE SURROUNDING COUNTIES OF SEGUIN, LAREDO, DEL RIO, AUSTIN AND VICTORIA. THE CHILDREN'S POPULATION IN BEXAR COUNTY IS ABOUT 500,000. THE MEDIAN FAMILY INCOME IN THE COUNTY IS $52,353 WITH 22% OF HOUSEHOLDS UNDER THE POVERTY RATE.
Schedule H, Part VI, Line 5 Promotion of community health	CLARITY CHILD GUIDANCE CENTER IS DEVOTED TO CARING FOR CHILDREN AGES 3-17 WITH MENTAL, EMOTIONAL AND BEHAVIORAL (MEB) DISORDERS. OUR CONTINUUM OF CARE RESULTED IN 12,327 OUTPATIENT VISITS AND 24,980 HOSPITAL DAYS (19,477 INPATIENT & 5,503 PARTIAL HOSPITALIZATION PROGRAM) OF CARE FOR THE CHILDREN OF OUR COMMUNITY IN FISCAL YEAR 2023. THOUSANDS OF CHILDREN RECEIVED SERVICES AND AS A NONPROFIT, THEY WERE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR THE TREATMENT PROVIDED. FY 2023 WAS MARKED BY THE COVID CRISIS WHICH CAUSED MAJOR CHANGES TO OUR OPERATIONS. HERE ARE SOME OF THE ACCOMPLISHMENTS CLARITY PERFORMED: - OPTIMIZED PATIENT ACCESS AND CARE COORDINATION PROCESSES LEADING TO SIGNIFICANT INCREASED CUSTOMER SATISFACTION, IMPROVED ACCESS AND BETTER BED UTILIZATION RATES. CONTINUATION OF ALL INPATIENT AND 24/7 CRISIS SERVICES WITH SAFETY PRECAUTIONS - EXPANDED USE OF TELEHEALTH FOR ALL OUTPATIENT SERVICES - CONTINUED REMOTE WORK FOR SELECT ADMINISTRATION STAFF - PUBLISHED CRISIS RESPONSE CONTENT FOR PARENTS ON WEBSITE CLARITYCGC.ORG AND 1IN5MINDS.ORG - DEPLOYED PARENTS CHAT WEBINARS AND VIRTUAL STRONG MINDS HAPPY HEART EVENTS OVERALL, CLARITY CGC STAFF ORGANIZED AND/OR ATTENDED OVER 200 IN-PERSON AND VIRTUAL MEETINGS AND PRESENTATIONS MAKING OVER 8,000 PROFESSIONAL OR FAMILY CONTACTS WITH INFORMATION ABOUT CLARITY CGC OR CHILDREN'S MENTAL HEALTH. WE ALSO ATTRACTED OVER 120,000 UNIQUE USERS ON OUR EDUCATIONAL WEBSITES AND GOT OVER 200,000 VIEWS AND 1.3 MILLION MINUTES WATCHED ON OUR YOUTUBE CHANNEL.
Schedule H, Part VI, Line 6 Affiliated health care system	CLARITY IS AN INDEPENDENT NOT-FOR-PROFIT MENTAL HEALTH AGENCY. THE ORGANIZATION DOES HAVE AN AFFILIATION WITH THE UT HEALTH SCIENCE CENTER SCHOOL OF MEDICINE THROUGH THE PROVISION OF A TEACHING ENVIRONMENT FOR MEDICAL RESIDENTS, PSYCHOLOGY INTERNS AND NURSING STUDENTS FROM SEVERAL AREA NURSING SCHOOLS.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jessica Knudsen
PRESIDENT/CEO	$193,937	$0	$0	$0	$135	$0	$2,001	$0	$27,477	$0	$223,551	$0	$0	$0
Derrick Flowers
VP FINANCE	$179,761	$0	$0	$0	$387	$0	$2,679	$0	$803	$0	$183,629	$0	$0	$0
Gina Massey
VP HUMAN RESOURCES	$148,194	$0	$0	$0	$594	$0	$2,190	$0	$4,903	$0	$155,881	$0	$0	$0
Geoffrey Gentry
VP CLINICAL SERVICES	$168,839	$0	$0	$0	$743	$0	$2,575	$0	$11,474	$0	$183,630	$0	$0	$0
Chris Bryan
VP INFORMATION TECH	$153,630	$0	$0	$0	$387	$0	$2,277	$0	$1,883	$0	$158,177	$0	$0	$0
Carol Carver
VP PATIENT SERVICES	$173,957	$0	$0	$0	$743	$0	$2,682	$0	$17,225	$0	$194,608	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	SPLENDORA CULTURAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	760664368	BondIssuerEIN
CUSIP	XXXXXXXXX	CUSIPNum
Bond Issued	2014-10-28	BondIssuedDt
Issue Price	$8,000,000	IssuePriceAmt
Purpose	CAMPUS EXPANSION OF FACILITIES	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$4,361,795	RetiredAmt
Total Proceeds	$8,000,000	TotalProceedsAmt
Issuance Costs From Proceeds	$160,000	IssuanceCostsFromProceedsAmt
Capital Expenditures	$7,840,000	CapitalExpendituresAmt
Substantial Completion	2015	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	FROST BANK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	15.0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part IV, Line 2c ARBITRAGE:	IN FISCAL YEAR 2023, THERE WAS NO FORMAL REBATE COMPUTATION COMPLETED AS THERE WAS NO ARBITRAGE ON THE BOND.
Schedule K, Part III, Line 9 POLICIES S:	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 V POLICIES S:	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 7 POLICIES S:	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 M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	GROUND LEASE	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$100,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Other - FMV OF LAND LEASE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule M, Part I, Line 25	NONCASH CONTRIBUTION OF GROUND LEASE: CLARITY CHILD GUIDANCE CENTER IS LOCATED ON LAND OWNED BY SAN ANTONIO MEDICAL FOUNDATION. THE FOUNDATION HAS PROVIDED A 50-YEAR LEASE, WITH A 20-YEAR OPTIONAL EXTENSION, TO THE CENTER AT NO COST. THE FAIR MARKET VALUE OF THE LEASE IS $100,000 PER YEAR.
Schedule M, Part I COLUMN B	NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THE AMOUNT REPORTED IN THIS COLUMN IS THE NUMBER OF CONTRIBUTIONS RECEIVED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a Delegate broad authority to a committee	THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, CHAIR-ELECT, VICE CHAIR, SECRETARY, FINANCE COMMITTEE CHAIR, AND THE IMMEDIATE PAST CHAIR OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE POWER TO EXERCISE ALL OF THE POWERS OF THE BOARD BETWEEN BOARD MEETINGS WITH SOME EXCEPTIONS. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED AT THE NEXT REGULAR BOARD MEETING.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF FINANCIAL STATEMENTS. AN ELECTRONIC COPY OF THE FORM 990 IS PROVIDED TO THE VP FINANCE AND THE FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c 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, Line 15a Process to establish compensation of top management official	THE CEO'S PERFORMANCE AND COMPENSATION IS REVIEWED BY THE COMPENSATION COMMITTEE USING FEEDBACK FROM OTHER KEY EMPLOYEES AND LOCAL AND NATIONAL SALARY SURVEYS INCLUDING THOSE FROM TEXAS HOSPITAL ASSOCIATION, WERLING AND ASSOCIATES INC., AND THE UNITED WAY. CCGC ALSO USES THE SAN ANTONIO NFP WAGE AND BENEFITS SURVEY DURING THEIR REVIEW. THE MOST RECENT REVIEW WAS CONDUCTED IN NOVEMBER OF 2022 AND DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	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, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Miscellaneous Revenue - Total Revenue: 46913, Related or Exempt Function Revenue: 46913, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PURCHASED CONTRACT SERVICES - Total Expense: 3857097, Program Service Expense: 3782407, Management and General Expenses: 70679, Fundraising Expenses: 4011; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INTEREST IN NET ASSETS OF SPP - 71543; CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS - 30523;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHWEST PSYCHIATRIC PHYSICIANS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8535 TOM SLICK DRIVE	AddressLine1Txt
City	SAN ANTONIO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78229	ZIPCd

Field	Value	IRS element (for citing)
EIN	742706271	EIN
Primary Activities	PSYCH TRMT	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	3	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CCGC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CHARITABLE TRUST (2)	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	TRUST	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	Trust	EntityTypeTxt

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHWEST PSYCHIATRIC PHYSICIANS
P	$1,722,261	FMV
SOUTHWEST PSYCHIATRIC PHYSICIANS
Q	$185,505	FMV
Southwest Psychiatric Physicians
A	$42,396	FMV