2025-05-15T09:25:15+00:00 2024-06-30 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2023-07-01 741153067 CLARITY CHILD GUIDANCE CENTER CLAR 2106160300 8535 TOM SLICK DRIVE SAN ANTONIO TX 782293363 JESSICA KNUDSEN Chief Executive Officer/President 2055826417 2025-05-15 true true Jeanette Verrelli P00742631 9727028262 2025-05-15 2023 2025-03-06 01:10:19Z JESSICA KNUDSEN 8535 TOM SLICK DRIVE SAN ANTONIO TX 782293363 37747040 false X WWW.CLARITYCGC.ORG X 1886 TX TO PROVIDE TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL AND/OR PSYCHIATRIC DISORDERS. 18 18 391 20 0 0 3984527 7188969 26161402 23443179 361193 1776161 125644 54918 30632766 32463227 0 0 0 0 19068762 20170749 0 0 26747 11635289 12817054 30704051 32987803 -71285 -524576 41932131 43114465 21899049 24044925 20033082 19069540 TO HELP CHILDREN, ADOLESCENTS AND FAMILIES OVERCOME THE DISABLING EFFECTS OF MENTAL ILLNESS AND IMPROVE THEIR ABILITY TO FUNCTION SUCCESSFULLY AT HOME, AT SCHOOL AND IN THE COMMUNITY. false false 25271380 23455508 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 19,425 INPATIENT DAYS, 5,573 PARTIAL HOSPITALIZATION DAYS, 11,810 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 $21,611,788 FOR INPATIENT CARE, $2,093,526 FOR THE PARTIAL HOSPITALIZATION PROGRAM, AND $773,044 FOR OUTPATIENT CARE. 25271380 true true false true false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false true false false false false true true true false false true 47 0 true 391 true false false false false false false false false false false false false X 18 18 false false false false false false false true true false false false true true true true true true true false X Jessica Knudsen 2106160300 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 Joanna Weidman IMMEDIATE PAST CHAIR 1.0 0.0 X X 0 0 0 REED HURLEY CHAIR ELECT & TREASURER 1.0 0.0 X X 0 0 0 SHANNA RAMIREZ SECRETARY 1.0 0.0 X X 0 0 0 TONY LOBASSO CHAIR 1.0 0.0 X X 0 0 0 Vanessa Hurd Vice Chair 1.0 0.0 X X 0 0 0 Adele Glenn DIRECTOR 1.0 0.0 X 0 0 0 Alexander Rapp DIRECTOR 1.0 0.0 X 0 0 0 Ami Gordon DIRECTOR 1.0 0.0 X 0 0 0 Benjamin Scott DIRECTOR 1.0 0.0 X 0 0 0 Blakeley Fernandez DIRECTOR 1.0 0.0 X 0 0 0 Christine Keating Director 1.0 0.0 X 0 0 0 Dr Caprica Wells Director 1.0 0.0 X 0 0 0 Elizabeth Papagni Director 1.0 0.0 X 0 0 0 Gilbert Costello III Director 1.0 0.0 X 0 0 0 John Seybold DIRECTOR 1.0 0.0 X 0 0 0 Justice Luz Elena Chapa DIRECTOR 1.0 0.0 X 0 0 0 Mesha Millsap DIRECTOR 1.0 0.0 X 0 0 0 Peggy Deming DIRECTOR 1.0 0.0 X 0 0 0 Tammy Fulgham DIRECTOR 1.0 0.0 X 0 0 0 Carol Carver VP PATIENT SERVICES 40.0 0.0 X 178214 0 19993 Chris Bryan VP INFORMATION TECH 40.0 0.0 X 157108 0 4357 Derrick Flowers VP FINANCE 40.0 0.0 X 183857 0 3561 Geoffrey Gentry VP CLINICAL SERVICES 40.0 0.0 X 172177 0 14071 Gina Massey VP HUMAN RESOURCES 40.0 0.0 X 149705 0 7207 Jessica Knudsen President/CEO 40.0 0.0 X 198612 0 29748 Melissa Mireles VP - MARKETING & DEVELOPMENT 40.0 0.0 X 99992 0 18804 Alice Martinez Director Patient Access 40.0 0.0 X 115468 0 14097 Joe L Nerios DIRECTOR- NURSING SERVICES 40.0 0.0 X 138005 0 2389 Jose Arredondo NURSE 40.0 0.0 X 139754 0 12874 Rick Edwards Director IP Programs 40.0 0.0 X 116195 0 13261 Will Guy DIRECTOR OP TRAINING 40.0 0.0 X 111681 0 1651 1760768 0 142013 13 false true false FA Nunnelly Company 922 N PanAm Expy San Antonio TX 78208 Construction 4793764 Southwest Psychiatric Phys 8535 Tom Slick San Antonio TX 78229 Physicians Services 1860416 Alamo City Contracting LLC 5265 NFM 3465 Adkins TX 78101 Site Preparation 611038 Prince Food Systems Inc 11001 Wilcrest Dr Houston TX 77099 Food Services 568576 Netsmart Technologies Inc POBox 823519 Philadelphia PA 19182 HEALTHCARE 558971 16 7188969 169442 7188969 Patient Service Revenue 621110 22942434 22942434 Physician Office Rental 531120 232022 232022 Support Personnel/Service 900099 268723 268723 0 0 0 0 23443179 490247 490247 0 0 6569727 5283813 1285914 0 1285914 1285914 Insurance Proceeds 900099 36627 0 0 36627 Medical Records 561000 7828 7828 0 0 Lunch Tickets 721210 5962 0 0 5962 4501 4501 0 0 54918 32463227 23455508 0 1818750 X 0 0 1237406 1237406 16065996 13067581 2995176 3239 264438 210957 52976 505 1348259 1076179 269505 2575 1254650 965148 289277 225 62743 62743 68187 11521 56659 7 126576 126576 6426 6426 34847 22194 12600 53 4413359 3825941 583029 4389 94632 4192 88202 2238 221938 103711 117985 242 37322 28086 9169 67 1330062 993593 334300 2169 9558 7292 2249 17 6508 3889 2618 1 667271 502134 163936 1201 1727295 1299822 424363 3110 442852 284635 157536 681 Program Supplies 1397265 1334223 62786 256 Bad Debt Expense 1151528 866547 282908 2073 Supplemental Funding 805442 606110 197882 1450 Equipment Expenses 72391 54476 17785 130 140852 3149 135584 2119 32987803 25271380 7689676 26747 831876 375603 7465565 4132628 1233422 3180838 2374701 2145054 0 0 0 31663 1281434 87086 78726 49867 236079 45753957 21476327 19880388 24277630 6818326 4241086 0 0 152106 59764 3007131 3105623 41932131 43114465 8493667 14909399 0 536273 229131 3638205 0 0 0 8219730 7996216 0 1011174 910179 21899049 24044925 X 16129757 13183219 3903325 5886321 0 0 0 20033082 19069540 41932131 43114465 X -524576 -626364 187398 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 6426 0 6426 0 25271380 0 25277806 0 1000000 0 250000 0 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 497 0 1523 6426 8446 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 34250467 17413578 16836889 6744 0 6744 3815442 3123355 692087 7681304 939394 6741910 24277630 Investment in SPP 1198604 Beneficial Interest in Perpetual Trust 1140857 Interest Rate Protection Agreements Operating Lease 766162 3105623 Due to Affiliate 105889 ROU Operating Lease Liability 804290 910179 26238582 -626364 9450 -190450 -807364 27045946 5417281 5417281 32463227 31845725 9450 0 9450 31836275 1151528 1151528 32987803 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 - 857412 CHANGE IN FAIR VALUE OF INTEREST RATE PROTECTION AGREEMENTS - -41077 CHANGE IN INTEREST IN NET ASSETS OF SPP - 144743 BAD DEBT EXPENSE - -1151528 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements CONTRIBUTIONS IN NET ASSETS WITH DONOR RESTRICTIONS - 5417281 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSE - 1151528 true true X true X true X 500 true true false true true 139465 139465 0.0044 17504043 15280621 2223422 0.0698 2062345 1221969 840376 0.0264 0 0 19705853 16502590 3203263 0.1006 504000 504000 0.0158 367200 367200 0.0115 0 0.0 0 0.0 0 0.0 0 0 871200 0 871200 0.0274 0 0 20577053 16502590 4074463 0.1280 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 1151528 X true true 1 1 CLARITY CHILD GUIDANCE CENTER 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 WWW.CLARITYCGC.ORG 000737 X X X CLARITY CHILD GUIDANCE CENTER 1 false false true X X X X X X X X X 21 true false false true X https://www.claritycgc.org/reports/ X true 21 true https://www.claritycgc.org/reports/ false true X 100.0 500.0 X X X true true X X X true X HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/ X HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/ X HTTPS://WWW.CLARITYCGC.ORG/RATES-INSURANCE-AND-FINANCIAL-AID/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 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. Clarity Child Guidance Center's leadership evaluated the opportunities revealed in the Community Health Needs Assessment and with the guidance of the Board of Directors, developed a strategic plan to address gaps in the community. Progress made over the last five years, per the outlined priorities, includes: 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. Deployed a call center which increased the percentage of calls answered by a live person from 17% to 92%. Employed a model of operators to answer and route calls, coupled with behavioral health specialists, to complete a phone triage and make recommendations for the appropriate level of care. 4. Launched the Next Step Center in August 2021 to provide rapid access appointments and short-term behavioral interventions. The Next Step Center also works with families to complete a warm handoff to other providers if additional or longer-term services are required. 5. Expand levels of care and types of care in the community with family friendly access points. 6. Continued involvement with the Mobile Mental Wellness Collaborative, providing therapy services at several Bexar County Independent School Districts. 7. Launched the Next Step Center in August 2021 to provide rapid access appointments and short-term behavioral interventions. 8. Removed the partial hospitalization census cap that had been put in place due to the pandemic to treat up to 40 children/adolescents at a time to meet the community demand. 9. Deepen community relationships through continued outreach efforts to hospitals, doctors, schools, non-profits, other behavioral hospitals, etc. 10. Ongoing involvement in the South Texas Crisis Collaborative (STCC) steering committee to represent the interest of children's mental health in the larger community. 11. Establishment of the Bexar County Foster Care Stakeholders Task Force to ensure the involvement of mental health providers in the treatment of children/adolescents in CPS custody. 12. Production of Conversations with Clarity in partnership with KLRN to bring together subject matter experts to dispel misinformation about children's mental health. 13. Continue to host Claritycon an annual summit for advocates of children's mental health. 14. Implement care coordination to create more effective utilization of health services for children at high-risk.; Increase family engagement to support continuity of care; Provide timely access to care after discharge from inpatient; Improve family understanding of aftercare needs; Provide bridge appointments to support the patient transition to community providers. 15. Explore the need for additional inpatient beds, specifically for youth with serious symptoms requiring intensive intervention. Identified the need to construct a Pediatric Psychiatric Intensive Care Unit (PPICU) to treat children/adolescents with severe symptoms and a history of frequent hospitalizations. 16. Reconfigured psychiatric staffing patterns to allow for in-person psychiatric coverage in the Crisis Services department for approximately 18 hours daily. 0 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 Costing Methodology used to calculate financial assistance 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 WORKSHEET 4 and worksheet 5 WERE DIRECT COSTS BOOKED TO THE HOSPITAL'S INCOME STATEMENT AND SUPPLEMENTAL COST REPORT SCHEDULES. 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 11,810 OUTPATIENT VISITS AND 24,998 HOSPITAL DAYS (19,425 INPATIENT & 5,573 PARTIAL HOSPITALIZATION PROGRAM) OF CARE FOR THE CHILDREN OF OUR COMMUNITY IN FISCAL YEAR 2024. THOUSANDS OF CHILDREN RECEIVED SERVICES AND AS A NONPROFIT, THEY WERE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR THE TREATMENT PROVIDED. FY 2024 WAS MARKED BY THE IDENTIFICATION OF NEED FOR EXPANDED SERVICES. OVERALL, CLARITY CGC STAFF ORGANIZED AND/OR ATTENDED OVER 200 IN-PERSON AND VIRTUALMEETINGS 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 X X X false false false false false false false false false Jessica Knudsen President/CEO 198405 0 0 0 207 0 2102 0 27646 0 228360 0 0 0 Derrick Flowers VP FINANCE 183470 0 0 0 387 0 2737 0 824 0 187418 0 0 0 Gina Massey VP HUMAN RESOURCES 149111 0 0 0 594 0 2251 0 4956 0 156912 0 0 0 Geoffrey Gentry VP CLINICAL SERVICES 171434 0 0 0 743 0 2645 0 11426 0 186248 0 0 0 Chris Bryan VP INFORMATION TECH 156514 0 0 0 594 0 2368 0 1989 0 161465 0 0 0 Carol Carver VP PATIENT SERVICES 177471 0 0 0 743 0 2742 0 17251 0 198207 0 0 0 Jose Arredondo NURSE 139693 0 0 0 61 0 2035 0 10839 0 152628 0 0 0 X GROUND LEASE 1 100000 Other - FMV OF LAND LEASE X Toys 12 45696 Cost false true false 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 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 Explanations of reporting method for number of contributions Other - GROUND LEASE The number in Part I Column B represents the number of contributions received. Other - Toys The number in Part I Column B represents the number of contributions received. 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 CEO & 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 OFTHE 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 2024 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: 4501, Related or Exempt Function Revenue: 4501, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees PURCHASED CONTRACT SERVICES - Total Expense: 4413359, Program Service Expense: 3825941, Management and General Expenses: 583029, Fundraising Expenses: 4389; - 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 - 144743; CHANGE IN FAIR VALUE OF INTEREST RATE PROTECTION AGREEMENTS - -41077; CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS - 83732; SOUTHWEST PSYCHIATRIC PHYSICIANS 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 742706271 PSYCH TRMT TX 501(c)(3) 3 CCGC true true false false true false false false false false true false true true false true true true true true SOUTHWEST PSYCHIATRIC PHYSICIANS P 1991497 FMV SOUTHWEST PSYCHIATRIC PHYSICIANS Q 226327 FMV SOUTHWEST PSYCHIATRIC PHYSICIANS A 42396 FMV