2019-05-14T10:21:45-05:00 2018-06-30 BKD LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 767106075 990 2017-07-01 741153067 Clarity Child Guidance Center % DERRICK FLOWERS CLAR 2106160300 8535 Tom Slick Drive San Antonio TX 782293363 FREDERICK W HINES PRESIDENT & CEO 2106160300 2019-05-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 70234720191345000001 2019-05-14 P ACBA2431EF37DEF71821A9057AFD5F2E9C389335 ACBA2431EF37DEF71821A9057AFD5F2E9C389335 2017 2019-02-21 02:37:17Z FREDERICK W HINES 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 28415276 false X WWW.CLARITYCGC.ORG X 1886 TX TO PROVIDE TREATMENT AND COUNSELING FOR children and adolescents with serious emotional and/or psychiatric disorders. 16 16 398 16 0 0 3849391 3833335 19494955 24013870 475777 181577 10541 49316 23830664 28078098 131843 245860 0 0 18259625 17730699 0 0 468707 9389111 10647822 27780579 28624381 -3949915 -546283 41237780 39169701 26684438 24724595 14553342 14445106 X 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 25962902 245860 24044072 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; THERAPUETIC RECREATION; BEHAVIOR MANAGEMENT; HIGHLY STRUCTURED ENVIRONMENT; AND EDUCATIONAL PROGRAMS. MAINTAINED A LOW STAFF TO PATIENT RATIO OF 1:3, LOGGED 18,236 INPATIENT DAYS, 5,755 PARTIAL HOSPITALIZATION DAYS, 23,236 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 $16,466,290 for inpatient care, $1,881,142 for the partial hospitalization program, and $1,590,260 for outpatient care. 25962902 true true false true false false false false false false true false false true true false false true false false false false false false true false true true true false true true false false false false false false false false false false true false false false false true true true false false true 56 0 398 true false false false false false true true false false false false X 16 16 false false false false false false false true true false false false true true true true true true true false X DERRICK FLOWERS 2106160300 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 X TAYLOR S BOONE DIRECTOR 1.0 0.0 X 0 0 0 STEPHANIE M BROSIG DIRECTOR 1.0 0.0 X 0 0 0 JUSTICE LUZ ELENA CHAPA DIRECTOR 1.0 0.0 X 0 0 0 ASHLEY SENARY DAHLBERG VICE CHAIR 1.0 0.0 X X 0 0 0 PEGGY DEMING DIRECTOR 1.0 0.0 X 0 0 0 ADELE GLEN DIRECTOR 1.0 0.0 X 0 0 0 AMI GORDON DIRECTOR 1.0 0.0 X 0 0 0 REED HURLEY DIRECTOR 1.0 0.0 X 0 0 0 TONY LOBASSO FINANCE COMMITTEE CHAIR 1.0 0.0 X X 0 0 0 CHARLES MCLANE DIRECTOR 1.0 0.0 X 0 0 0 BEN SCOTT PAST CHAIR 1.0 0.0 X X 0 0 0 JOHN SEYBOLD CHAIR 1.0 0.0 X X 0 0 0 TARA SHELTON DIRECTOR 1.0 0.0 X 0 0 0 FERNANDA SMITH DIRECTOR 1.0 0.0 X 0 0 0 JOANNA WEIDMAN CHAIR-ELECT 1.0 0.0 X X 0 0 0 BRIAN ZIMMERMAN CPA SECRETARY 1.0 0.0 X X 0 0 0 Paul M Brochu Immediate Past Chair End: 2/18 1.0 0.0 X X 0 0 0 Georgina Benitez Schmahl Director End: 10/17 1.0 0.0 X 0 0 0 Marianne Fiorenza CPA Fin Committee Chair End: 6/18 1.0 0.0 X X 0 0 0 Kay Scroggins Vice Chair End: 6/18 1.0 0.0 X X 0 0 0 FREDERICK HINES PRESIDENT/CEO 40.0 0.0 X 209506 0 10495 MICHAEL BERNICK VP FINANCE 40.0 0.0 X 200377 0 19209 GINA MASSEY VP HUMAN RESOURCES 40.0 0.0 X 139323 0 9957 GEOFFREY GENTRY VP CLINICAL SVCS 40.0 0.0 X 165579 0 1215 CHRIS BRYAN VP INFORMATION TECH 40.0 0.0 X 139677 0 26510 CAROL CARVER VP PATIENT SERVICES 40.0 0.0 X 117505 0 25260 Michele Brown VP MARKETING/Development 40.0 0.0 X 128286 0 16063 KARL KOCH DIRECTOR-OUTPATIENT SVCS 40.0 0.0 X 133761 0 17357 GERARD MIGEON DIRECTOR-MARKETING 40.0 0.0 X 124732 0 18971 JOE L NERIOS DIRECTOR - Nursing Services 40.0 0.0 X 127879 0 647 THEANNE LONG DIRECTOR - Weekend Services 40.0 0.0 X 127297 0 689 SUSAN JUAREZ-LEAL NURSE PRACTIONER 40.0 0.0 X 135958 0 1029 1749880 0 147402 13 false true false PRINCE FOOD SYSTEMS 11001 WILCREST DR SUITE 200 HOUSTON TX 77099 FOOD SERVICE 765252 UT HEALTH SCIENCE CENTER 7703 FLOYD CURL DRIVE SAN ANTONIO TX 78229 PHYSICIAN SERVICES 571783 SOUTHWEST PSYCHIATRIC PHYSICIANS 8535 TOM SLICK DR SAN ANTONIO TX 78229 PHYSICIAN SERVICES 1109837 Genoa PO BOX 77030 MINNEAPOLIS MN 55480 PHARMACY 483566 KELLER-MARTIN CONSTRUCTION 4930 Enterprse Dr SAN ANTONIO TX 78429 Contractors 511692 14 X 1132583 334185 88308 2278259 100000 3833335 NET PATIENT SERVICE REVENUE 621110 23819498 23819498 PHYSICIAN OFFICE RENTAL 531120 40376 40376 SUPPORT PERSONNEL/SERVICE 900099 153996 153996 24013870 140316 140316 0 0 0 0 0 333680 292419 41261 41261 41261 33377 334185 44759 -11382 -11382 0 0 0 0 0 0 LUNCH TICKETS 721210 30496 30496 MEDICAL RECORDS 561000 11197 11197 MISCELLANEOUS REVENUE 900099 19005 19005 60698 28078098 24044072 200691 245860 245860 0 0 0 1076335 410949 665386 0 14179049 13134852 891491 152706 60744 53937 6199 608 1331706 1182470 135906 13330 1082865 961515 110511 10839 0 46941 46941 48241 48241 0 0 0 2826894 2780276 42454 4164 87013 87013 2177523 2116297 52029 9197 0 0 956421 849242 97586 9593 22608 20075 2307 226 0 13304 11813 1358 133 1056348 946610 16273 93465 0 1919762 1720328 29574 169860 315538 280177 32202 3159 BAD DEBT EXPENSE 1069416 1069416 PROMOTIONS AND SPECIAL EVENTS 52439 42702 8867 870 DUES AND PUBLICATIONS 27368 24301 2793 274 LICENSE AND REGISTRATION 16568 14711 1691 166 11438 10358 963 117 28624381 25962902 2192772 468707 276188 348114 13723 13723 444140 290057 3236899 2639321 0 0 0 0 1820181 1130436 197196 209324 334927 325172 38978936 12413020 27380348 26565916 0 0 0 0 0 0 247641 207200 7286537 7440438 41237780 39169701 3326716 3186356 0 0 0 0 9836991 9061307 0 0 0 0 12891452 12149243 0 0 629279 327689 26684438 24724595 X 12526347 12546683 952185 811705 1074810 1086718 14553342 14445106 41237780 39169701 X -546283 268435 169612 X false true X true false X 0 0 0 25962902 25962902 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 5257 2407 7625 0 15289 250000 250000 250000 250000 1000000 1500000 2930 385 854 0 4169 319221 319221 34629705 10237220 24392485 78352 78352 0 2488818 1622332 866486 1462840 475116 987724 26565916 BOARD DESIGNATED FUNDS 5490022 INVESTMENT IN SPP 765684 DUE FROM AFFILIATE 48877 BENEFICIAL INT-PERPETUAL TRUST 1086718 INTEREST RATE PROTECTION AGREE 49137 7440438 0 DUE TO AFFILIATE 327689 327689 26414348 -496509 -496509 26910857 1167241 1167241 28078098 27599984 44759 44759 27555225 1069156 1069156 28624381 schedule d, part x, line 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. schedule d, part xi, line 2d Reconciliation of revenue per audited financial statements with return: NET ASSETS RELEASED FROM RESTRICTIONS $414,943 CHANGE IN FAIR VALUE OF INTEREST RATE PROTECTION AGMT 82,941 CHANGE IN INTEREST IN NET ASSETS OF SPP 74,763 BAD DEBT EXPENSE (1,069,416) OTHER CLASSIFICATION DIFFERENCE 260 ------------- TOTAL $(496,509) schedule d, part xi, line 4b Reconciliation of revenue per audited financial statements with return: UNRELEASED CONTRIBUTIONS IN TEMPORARILY RESTRICTED NET ASSETS $ 1,212,000 DIRECT FUNDRAISING EXPENSE (44,759) ----------- TOTAL $ 1,167,241 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: DIRECT FUNDRAISING EXPENSE 44,759 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $ 1,069,416 OTHER CLASSIFICATION DIFFERENCE (260) ---------------- TOTAL $ 1,069,156 GALA 367562 334185 33377 33377 241 11141 0 367562 334185 33377 33377 241 11141 44759 -11382 true true X true X true X 500. true false true true 369418 369418 0.01340 12177481 13809104 1479829 1356678 123151 0.00450 14026728 15165782 492569 0.01790 450486 450486 0.01630 757687 757687 0.02750 198561 198561 0.00720 245860 245860 0.00890 1652594 1652594 0.05990 15679322 15165782 2145163 0.07780 true 1069416 true false 1 1 CLARITY CHILD GUIDANCE CENTER 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 WWW.CLARITYCHC.ORG 000737 X X X CLARITY CHILD GUIDANCE CENTER 1 false false true X X X X X X X X X 15 true false false true X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C false true X 100 500. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X See Part V, Section C X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 PERSONS WHO REPRESENT THE COMMUNITY: CLARITY CHILD GUIDANCE CENTER (CCGC) CONDUCTED MULTIPLE MEETINGS AND INTERVIEWS WITH KEY STAKEHOLDERS IN THE COMMUNITY. IN TOTAL, 22 MEETINGS WERE HELD WITH STAKEHOLDERS REPRESENTING PUBLIC HEALTH, CHILD AND ADOLESCENT PSYCHIATRY AND VARIOUS COMMUNITY CONSTITUENTS. THESE STAKEHOLDERS INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS AND/OR GROUPS: BEXAR COUNTY, EMERGENCY DEPARTMENT, CLARITY CHILD GUIDANCE CENTER STAFF, MEADOWS MENTAL HEALTH POLICY INSTITUTE, MULTIPLE SYSTEM OF CARE LEADERS FROM ACROSS SOUTH TEXAS AND BEXAR COUNTY'S MENTAL HEALTH SYSTEM OF CARE. IN ADDITION TO THE MEETINGS, A PROFESSIONALS RESEARCH STUDY WAS DISTRIBUTED TO OVER 2,900 PROFESSIONAL CONTACTS WITHIN THE COMMUNITY. THE SAMPLE INCLUDED THE HOSPITAL'S OWN LIST OF PROFESSIONAL RECIPIENTS, SCHOOL COUNSELORS, SOCIAL WORKERS, MEMBERS OF THE SAN ANTONIO PEDIATRICIAN SOCIETY, AND MEMBERS OF THE BEXAR COUNTY MEDICAL SOCIETY. IN TOTAL, 304 RESPONSES WERE RECEIVED. SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: THE HOSPITAL IDENTIFIED AND PRIORITIZED THE FOLLOWING NEEDS IN THEIR IMPLEMENTATION STRATEGY: 1. CONTINUED INVESTING IN DEVELOPMENT TO ENABLE SYSTEMIC AND REPEATABLE FUNDING STREAMS TO OUR EXISTING BUSINESS MODEL OF BILLING INSURANCE COMPANIES. DURING THE 2018 FISCAL YEAR, THE HOSPITAL MADE THE FOLLOWING ACCOMPLISHMENTS TO MEET THIS PRIORITY: - CONTINUED TO SUCCESSFULLY REPORT OUTCOME METRICS AND FULLY REALIZE $4.4M IN FUNDING FROM THE DSRIP/1115 WAIVER. - UNITED WAY OF SAN ANTONIO AND BEXAR COUNTY CONTINUED TO SUPPORT OUR MISSION WITH $1.1M IN FUNDING IN 2018 TO SUPPORT AN OUTPATIENT TRIAGE, BRIEF THERAPY, AND ASSESSMENTS PROGRAM. 2. & 3. EXPLORED METHODS TO INCREASE ACCESS TO CARE, KNOWING THAT A SEVERE SHORTAGE OF BEHAVIORAL HEALTH PROVIDERS HAS BEEN AN ONGOING SOCIETAL ISSUE AND EXPANDED LEVELS OF CARE AND TYPES OF CARE IN THE COMMUNITY. DURING THE 2018 FISCAL YEAR, THE HOSPITAL MADE THE FOLLOWING ACCOMPLISHMENTS REGARDING THIS PRIORITY: -IMPROVED ACCESS TO CARE BY ALLOWING FAMILIES TO WALK INTO OUR CRISIS ASSESSMENT CENTER ANYTIME WITH THE DEVELOPMENT OF THE FIRST STEP PROGRAM, WHICH ALLOWS OUR OUTPATIENT TEAM TO SEE A CHILD PSYCHOLOGIST FOR A TRIAGE CONSULTATION WITHIN A WEEK, AND BY ADDING A FULL-TIME PSYCHIATRIST AT OUR CLARITY CHILD GUIDANCE CLINIC AT WESTOVER HILLS. -IMPROVED TREATMENT ACCESS/TREATMENT QUALITY WITH CREATIVE STAFF SCHEDULING, WHICH INVOLVES INPATIENT THERAPISTS WORKING A DIFFERENT 5-DAY SCHEDULE THAT OVERLAPS THE WEEKENDS, ALLOWING FAMILIES WHO COULD NOT BE HERE DURING THE WEEK TO INCREASE PARTICIPATION ON WEEKENDS. -IMPROVED TREATMENT ACCESS BY OFFERING EVENING FAMILY THERAPY SESSIONS, PARTICULARLY TO FAMILIES OUT OF TOWN OR WITH NON-TRADITIONAL WORK SCHEDULES. -INCREASED THE NUMBER OF SPANISH-SPEAKING THERAPISTS TO ACCOMMODATE FAMILIES' NEED FOR SPANISH-SPEAKING CLINICIANS. -CONTINUED TO IMPROVE SYSTEM OF CARE/CARE COORDINATION BY CONDUCTING POST-DISCHARGE PHONE CALLS BY THE CARE COORDINATION TEAM TO EVALUATE AND MITIGATE OBSTACLES TO CONTINUITY OF CARE. -EXPANDED OUR EFFORTS OF OUTREACH AND EDUCATION THROUGH THE ONE IN FIVE MINDS CAMPAIGN, CLARITYCON AND A ROBUST PROGRAM OF MONTHLY CONTINUING EDUCATION UNITS OFFERED TO THE COMMUNITY. WITH THE SUPPORT OF USAA, CLARITY CGC LAUNCHED A CAMPAIGN TO INFORM MILITARY FAMILIES ABOUT CHILDREN MENTAL WELLNESS, WHICH PROVED TO BE SUCCESSFUL AS EVIDENCED BY THE THOUSANDS OF PARENTS AND PROFESSIONALS REACHED. - THE NUMBER OF INPATIENT AND PARTIAL HOSPITALIZATION ADMISSIONS GREW BY 9% AND 12%, RESPECTIVELY. - CONTINUED TO EXPAND SERVICE CAPACITY AT OUR CLARITY CLINIC AT WESTOVER HILLS, WITH FOUR THERAPISTS, TWO FULL-TIME PSYCHIATRISTS, A PART-TIME NURSE PRACTITIONER, AND DAY TREATMENT CENTER. WE INCREASED THE NUMBER OF ADMISSION TO THE DAY TREATMENT PROGRAM BY 3%. - INCREASED THE CAPACITY OF OUR MAIN CAMPUS DAY TREATMENT FACILITY WHICH ALLOWS A CHILD TO STAY WITH US 8:00 A.M. UNTIL 3:00 P.M., MONDAY THROUGH FRIDAY FOR INTENSIVE TREATMENT COMING OUT OF HOSPITALIZATION, OR AS A MEASURE TO PREVENT HOSPITALIZATION. THE NUMBER OF ADMISSIONS DAYS IN THE MAIN CAMPUS DAY TREATMENT INCREASED 12%. - OUTPATIENT SERVICES PROVIDED OVER 30,000 APPOINTMENTS IN FY2018, INCLUDING PSYCHOTHERAPY, PSYCHIATRIC EVALUATIONS AND MEDICATION MANAGEMENT, PSYCHOLOGICAL TESTING, AND DEVELOPMENTAL AND NEUROPSYCHOLOGICAL ASSESSMENTS. - CONTINUED THE PARTNERSHIP WITH UT HEALTH-SAN ANTONIO DEPARTMENT OF CHILD AND ADOLESCENT PSYCHIATRY, BAYLOR COLLEGE OF MEDICINE AND THE TELEPSYCHIATRY OF OUR HOUSTON BASED PARTNER. - CONTINUED OUR ON-SITE PARTNERSHIP WITH GENOA PHARMACY AND USED THE PYXIS 4000 AUTOMATED MEDICATION DISPENSING SYSTEM TO DISTRIBUTE MEDICATION TO OUR FOUR INPATIENT LIVING UNITS WITH MORE CONSISTENCY AND EFFICIENCY. 4. CONTINUED TO ENHANCE THE RELATIONSHIPS AND OUTREACH RELATED TO ONE IN FIVE MINDS, CLARITY CGC'S SIGNATURE CAMPAIGN TO END THE STIGMA OF MENTAL ILLNESS. UNDER THE UMBRELLA OF THIS CAMPAIGN, WE ALSO ORGANIZED STRONG MINDS, HAPPY HEARTS (SMHH) EVENTS IN LOCAL SCHOOLS IN AN EFFORT TO BRING FACE-TO-FACE SUPPORT TO PARENTS. PARENTS/GUARDIANS LEARN ABOUT SIGNS/SYMPTOMS OF MENTAL ILLNESS AND CAN ACCESS THE SYSTEM OF CARE THROUGH ONSITE EXHIBITORS. - WE CONTINUE TO HOST REGULAR COMMUNITY EDUCATION EVENTS FOR PROFESSIONALS AT NO CHARGE AS A COMMUNITY SERVICE. DURING THESE EVENTS, ATTENDEES HEARD FROM REGIONAL EXPERTS AND EARNED CONTINUING EDUCATION UNIT (CEU) CREDITS. VIDEO REPLAYS OF THE PRESENTATIONS ARE AVAILABLE ON-DEMAND THROUGH OUR YOUTUBE CHANNEL AND CLARITY CGC WEBSITE AND WERE VIEWED OVER 100,000 TIMES IN THE PAST. 5. ENHANCED OUR CARE COORDINATION SERVICE TO PROVIDE MORE EFFECTIVE UTILIZATION OF HEALTH SERVICES FOR CHILDREN AT HIGH-RISK OF HARM TO SELF AND OTHERS, AS WELL AS TO REDUCE THE NEED FOR RE-ADMISSION. THE CARE COORDINATION TEAM CONTINUED TO HELP FAMILIES NAVIGATE TREATMENT AND REMOVE POTENTIAL BARRIERS TO CARE, TO INCLUDE: -SETTING UP APPOINTMENTS, OR HELPING TO NAVIGATE OTHER SUPPORTS FROM THE SYSTEM OF CARE, -PROVIDING SUPPORT FOR FOOD-INSECURITY VIA OUR ON-SITE FOOD PANTRY DEVELOPED IN PARTNERSHIP WITH THE SAN ANTONIO FOOD BANK OR PROVIDING A WARM HAND-OFF TO OTHER COMMUNITY PARTNERS FOR OTHER SOCIAL DETERMINANT NEEDS BASED ON THE FAMILY'S UNIQUE SITUATION, AND -KEEPING PATIENTS COMPLIANT WITH THE TREATMENT PLAN, WHILE REMOVING BARRIERS TO CARE. THE REMAINING ITEMS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS AND INTERVIEWS ARE IN THE RESEARCH STAGE TO DETERMINE IF THEY CAN BE IMPLEMENTED FOLLOWING THE AFOREMENTIONED FIVE MAJOR INITIATIVES. ITEMS NOT IMMEDIATELY BEING ADDRESSED, SUCH AS A LACK OF PARENT/GUARDIAN KNOWLEDGE ABOUT PATHWAYS AND BRIDGING DISPARATE HEALTH SYSTEMS COULD BE RESOLVED WITH A REGIONAL CALL CENTER TO HELP DIRECT ACCESS TO CARE. THIS IS AN INITIATIVE UNDER CONSIDERATION BY THE BEXAR COUNTY MENTAL HEALTH CONSORTIUM. SCHEDULE H, PART V, SECTION B, LINE 7A & 10A AVAILABILITY TO THE PUBLIC: THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING WEBSITE: http://www.claritycgc.org/about-clarity/reports-for-the-community SCHEDULE H, PART V, SECTION B, LINE 16A, 16B & 16C FAP DOCUMENTS AVAILABLE TO THE PUBLIC: THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE IN ENGLISH AND SPANISH ON THE FOLLOWING WEBSITE: HTTP://WWW.CLARITYCGC.ORG/PATIENT-FAMILIES/LEARN-ABOUT-CLARITY/WHAT-TO-EXP ECT/FINANCIAL-ASSISTANCE-POLICY 2 CLARITY CHILD GUIDANCE CENTER - OPC 2135 BABCOCK RD SAN ANTONIO TX 78229 OUTPATIENT BEHAVIOR HEALTH CLINIC CLARITY CHILD GUIDANCE CLINIC - WH 10431 STATE HIGHWAY 151 SAN ANTONIO TX 78251 OUTPATIENT BEHAVIOR HEALTH CLINIC schedule h, part i, line 7, column f BAD DEBT EXCLUDED IN CALCULATION OF PATIENT CARE COST TO CHARGES: BAD DEBT EXPENSE IN THE AMOUNT OF $1,069,416 WAS INCLUDED ON FORM 990, PART IX, LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES. schedule h, part iii, section a, line 2 bad debt expense: THE BAD DEBT EXPENSE OF $1,069,416 ON LINE 2 IS THE BAD DEBT EXPENSE REPORTED FROM THE AUDITED FINANCIAL STATEMENTS. schedule h, part iii, section a, line 3 bad debt attributable to patients eligible for financial assistance: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. schedule h, part iii, section a, line 4 bad debt footnote: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Center analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Center records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. THE CENTER'S PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND ACCOUNT WRITE-OFFS DID NOT CHANGE SIGNIFICANTLY FROM 2017 TO 2018. schedule h, part iii, section c, line 9b collection practices: THE COLLECTION POLICY CURRENTLY DOES NOT CONTAIN EXPLICIT PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. HOWEVER, THERE IS LANGUAGE IN THE FINANCIAL ASSISTANCE POLICY THAT STATES THE HOSPITAL DOES NOT CONDUCT OR PERMIT COLLECTION AGENCIES TO CONDUCT EXTRAORDINARY COLLECTION ACTIONS (ECAS), AS DEFINED UNDER INTERNAL REVENUE CODE SECTION 501(R), AGAINST ANY INDIVIDUAL BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR THE FINANCIAL ASSISTANCE Program. schedule h, part vi, line 2 needs assessment: PERIODICALLY, A SURVEY IS SENT TO AREA PROVIDERS, CLIENTS AND ORGANIZATIONS ASKING WHAT NEEDS ARE NOT BEING ADDRESSED IN THEIR AREAS OF PRACTICE. INFORMATION IS ALSO USED FROM THE HEALTH COLLABORATIVE STATE OF THE COUNTY REPORT, METRO HEALTH REPORTS AND THE TEXAS SUICIDE PREVENTION REPORTS. MARKET RESEARCH IS CURRENTLY BEING DONE TO TARGET HIGH NEED AREAS WITHIN THE CITY. schedule h, part vi, line 3 patient education of eligibility for assistance: EVERY FAMILY IS ASSIGNED A CASE MANAGER THAT WORKS WITH THE FAMILY TO DETERMINE ANY RESOURCES FOR WHICH THEY MAY BE ELIGIBLE. THE CASE WORKER THEN WORKS WITH THE FAMILY TO COMPLETE ANY PAPERWORK BEFORE DISCHARGE. ADDITIONALLY, ALL FAMILIES ARE OFFERED SLIDING SCALE SERVICE FEES IF THEY QUALIFY UNDER THE CURRENT FEDERAL POVERTY GUIDELINES. schedule h, part vi, line 4 community information: THE CENTER SERVES SAN ANTONIO 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 $49,655 WITH 20% OF HOUSEHOLDS UNDER THE POVERTY RATE. schedule h, part vi, line 5 promotion of community health: CLARITY CHILD GUIDANCE CENTER IS DEVOTED TO CARING FOR CHILDREN AGES 3-17 WITH MENTAL, EMOTIONAL AND BEHAVIORAL (MEB) DISORDERS. OUR CONTINUUM OF CARE RESULTED IN 23,236 OUTPATIENT VISITS AND 23,991 HOSPITAL DAYS OF CARE FOR THE CHILDREN OF OUR COMMUNITY IN FISCAL YEAR 2018. THOUSANDS OF CHILDREN RECEIVED SERVICES AND AS A NONPROFIT, THEY WERE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR THE TREATMENT PROVIDED. WE LOOK FORWARD TO CONTINUING OUR WORK WITHIN THE COMMUNITY TO REDUCE THE STIGMA AND INCREASE SERVICES TO ERADICATE THE LACK OF ACCESS TO BEHAVIORAL HEALTH PROVIDERS AND TREATMENT. The FOLLOWING IS A LIST OF THE VARIOUS WAYS IN WHICH WE PROVIDED cOMMUNITY SERVICES: OUR WEBSITE RECEIVES OVER 80,000 VISITS A YEAR FROM PROFESSIONALS, FAMILIES AND DONORS LOOKING FOR WARNING SIGNS AND OTHER INFORMATION. ALSO, CLARITY'S YOUTUBE CHANNEL AND ITS LIBRARY OF TOPICS HAD MORE THAN 144,000 VIEWS, AND 838,000 MINUTES OF CONTENT STREAMED TO INCREASE KNOWLEDGE AND EDUCATION ABOUT CHILDREN'S MENTAL HEALTH. WE ALSO SHARE KNOWLEDGE BY HOSTING FREE CONTINUING EDUCATION SESSIONS ON OUR CAMPUS. THIS YEAR, 725 PEOPLE FROM ACROSS THE COMMUNITY ATTENDED THESE SESSIONS TO GAIN CRITICAL KNOWLEDGE. WE ALSO PROVIDED EDUCATION SESSIONS IN OTHER LOCATIONS IN THE COMMUNITY TO 1,528 ATTENDEES AND HOSTED BENCHMARKING TOURS. 36 UNITED WAY PRESENTATIONS WERE MADE TO 1,458 ATTENDEES REPRESENTING MULTIPLE COMPANIES IN OUR COMMUNITY. WE CONTINUED PROVIDING EDUCATION ABOUT CHILDREN'S MENTAL HEALTH BY HOSTING THE THIRD CLARITYCON CONFERENCE FOR PROFESSIONALS ACROSS THE STATE. IN JUNE, 350 PROFESSIONALS ATTENDED A 1.5 DAY EVENT THAT FEATURED 20 BREAKOUT SESSION SPEAKERS, PANELISTS, AND TWO KEYNOTE SPEAKERS, INCLUDING SUCH AS LAURENCE STEINBERG, PH.D., ONE OF THE WORLD'S LEADING EXPERTS ON CHILD AND ADOLESCENT PSYCHOLOGICAL DEVELOPMENT. THE CONFERENCE FEATURED RENOWNED SPEAKERS SUCH AS ELIZABETH MCINVALE, PHD THE FOUNDER OF THE PEACE OF MIND FOUNDATION AND AN EXPERT ON OBSESSIVE COMPULSIVE DISORDER (OCD), KRISTIN NEFF, PHD ASSOCIATE PROFESSOR OF EDUCATIONAL PSYCHOLOGY AT THE UNIVERSITY OF TEXAS AT AUSTIN AND LINEA AND CINDA JOHNSON, CO-AUTHORS OF "PERFECT CHAOS: A DAUGHTER'S JOURNEY TO SURVIVE BIPOLAR, A MOTHER'S STRUGGLE TO SAVE HER". OUR ONE IN FIVE MINDS CAMPAIGN TO END THE STIGMA OF CHILDREN'S MENTAL ILLNESS CELEBRATED ITS THIRD YEAR ANNIVERSARY. IT HAS INSPIRED OVER 6,000 PEOPLE TO TAKE THE PLEDGE TO END STIGMA AND INCREASE AWARENESS OF MENTAL ILLNESS. IN ADDITION, DURING THAT YEAR, OVER 7,600 PEOPLE VISITED THE WEBSITE TO LEARN ABOUT THE CAMPAIGN. THE SOCIAL MEDIA COMPONENT OF THE CAMPAIGN REACHED 45,000 FACEBOOK FANS. STRONG MINDS AND HAPPY HEARTS IS A UNIQUE SCHOOL-BASED AWARENESS PROGRAM FOR CHILDREN'S MENTAL HEALTH IN BEXAR COUNTY. THIS FREE EVENT IS DESIGNED TO BREAK DOWN THE BARRIERS OF MENTAL ILLNESS BY HELPING EDUCATE PARENTS, SCHOOLS AND COMMUNITY MEMBERS ABOUT CHILDREN'S MENTAL HEALTH AND PROVIDE THE INSIGHT AND RESOURCES NEEDED TO HELP. WE HAVE HOSTED MULTIPLE STRONG MINDS AND HAPPY HEARTS EVENTS THIS FISCAL YEAR AND ARE EXPANDING THIS PROGRAM TO MANY MORE SCHOOL DISTRICTS, BRINGING THIS EDUCATION DIRECTLY TO PARENTS AND CAREGIVERS. IN MAY 2017 WE ORGANIZED MAYNICURES, A SOCIAL MEDIA CAMPAIGN INVITING ALL SAN ANTONIO WOMEN TO PAINT THEIR NAILS WITH A ONE IN FIVE COLOR PATTERN IN RECOGNITION OF CHILDREN'S MENTAL HEALTH MONTH. OVERALL, 43,000 PEOPLE ENGAGED WITH US THROUGH SOCIAL MEDIA, OUR WEBSITE OR AT OUR EVENT. PLEASE SEE THE SCHEDULE H, PART V, SECTION B, LINE 11 DISCLOSURE FOR ADDITIONAL INFORMATION ABOUT THE ORGANIZATION'S PROMOTION OF COMMUNITY HEALTH. 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: texas SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - MEDICAL INDIGENCY - INSURANCE STATUS - UNDERINSURANCE STATUS true SERVICE ORGANIZATION OF SAN ANTONIO 2950 50TH STREET Lubbock TX 79413 371591815 501(C)(3) 239000 COMMUNITY HEALTHCARE 1 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. X X X false false false false false true false false false FREDERICK HINES PRESIDENT/CEO 209506 0 0 0 0 0 665 0 9830 0 220001 0 0 0 MICHAEL BERNICK VP FINANCE 200377 0 0 0 0 0 646 0 18563 0 219586 0 0 0 GEOFFREY GENTRY VP CLINICAL SVCS 165579 0 0 0 0 0 515 0 700 0 166794 0 0 0 CHRIS BRYAN VP INFORMATION TECH 139677 0 0 0 0 0 454 0 26056 0 166187 0 0 0 KARL KOCH DIRECTOR-OUTPATIENT SVCS 133761 0 0 0 0 0 449 0 16908 0 151118 0 0 0 SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANIZATION: CLARITY'S INCENTIVE COMPENSATION PLAN IS DESIGNED TO REMAIN COMPETITIVE IN THE MARKETPLACE, INCREASE LEVELS OF PERFORMANCE AND/OR EXPECTATIONS OF STAFF AND TO REWARD EMPLOYEES SYSTEMATICALLY FOR ACHIEVING DESIRED RESULTS CONSISTENT WITH BUSINESS NEEDS, GOALS AND INITIATIVES. THE PLAN INCLUDES ALL EMPLOYEES AND IS BASED ON A PERCENTAGE OF THE CHANGE IN NET ASSETS AND MEETING OR EXCEEDING 92.5% IN OVERALL PATIENT SATISFACTION. THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS WILL PERIODICALLY TRACK THE PLAN IMPACT ON BOTH BUSINESS OBJECTIVES AS WELL AS EMPLOYEE PERFORMANCE TO ENSURE A PLAN SUPPORTIVE OF BUSINESS STRATEGY AND INITIATIVES. A SPLENDORA CULTURAL EDUCATION FACILITIES FIN CORP 760664368 xxxxxxxxx 2014-10-28 8000000 CAMPUS EXPANSION OF FACILITIES false false false B ROMAN FOREST CULTURAL EDUCATION 270047012 xxxxxxxxx 2006-05-09 6000000 CONSTRUCTION OF NEW ADMIN BUILDING false false false A 505333 0 8000000 0 0 0 160000 0 0 7840000 0 0 2015 false false true true B 4433359 0 6000000 0 0 3459074 120000 0 0 2420926 0 0 2008 false false true true A false false true true false 0 false false false false B false false true true false 0 false false false false A false true false false true true FROST BANK 10. false false false 0 false false B false false false true true true FROST BANK 15. false false false 0 false false A false B false SCHEDULE K, PART III, LINE 9, PART IV, LINE 7 & PART V POLICIES & PROCEDURES: THE HOSPITAL IS IN THE PROCESS OF CREATING WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF CODE SECTION 148, REGULATIONS SECTION 1.141-12, REGULATIONS SECTION 1.145-2 AND TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE IDENTIFIED AND CORRECTED IN A TIMELY MANNER. SCHEDULE K, PART IV, LINE 2C ARBITRAGE: ROMAN FOREST BONDS - REBATE COMPUTATION PERFORMED 8/18/2008 X ground lease 1 100000 fmv of land lease false true false schedule m, part i, line 25 noncash contribution of ground lease: CLARITY CHILD GUIDANCE CENTER IS LOCATED ON LAND OWNED BY SAN ANTONIO MEDICAL FOUNDATION. THE FOUNDATION HAS PROVIDED A 50-YEAR LEASE, WITH A 20-YEAR OPTIONAL EXTENSION, TO THE CENTER AT NO COST. THE FAIR MARKET VALUE OF THE LEASE IS $100,000 PER YEAR. SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THE AMOUNT REPORTED IN THIS COLUMN IS THE NUMBER OF CONTRIBUTIONS. form 990, part vi, section b, line 11b PROCESS TO REVIEW THE FORM 990: THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF FINANCIAL STATEMENTS. AN ELECTRONIC COPY OF THE FORM 990 IS PROVIDED TO THE CFO FOR REVIEW PRIOR TO FILING WITH THE IRS. form 990, part vi, section b, line 12c PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS ADMINISTERED UNDER THE DIRECTION OF THE VICE PRESIDENT OF CORPORATE COMPLIANCE. EMPLOYEES ARE OBLIGATED TO DISCLOSE ANY POTENTIAL CONFLICTS AS DESCRIBED IN THE POLICY AS THEY ARISE. THE VICE PRESIDENT OF CORPORATE COMPLIANCE INVESTIGATES AND RESOLVES ANY CONCERNS. IN THE EVENT OF A CONFLICT, THE BOARD MEMBER ABSTAINS FROM VOTING ON ANY MATTERS RELATED TO THE CONFLICT. form 990, part vi, section b, line 15a REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: THE CEO'S PERFORMANCE AND COMPENSATION IS REVIEWED BY THE COMPENSATION COMMITTEE USING FEED BACK FROM OTHER KEY EMPLOYEES AND LOCAL AND NATIONAL SALARY SURVEYS INCLUDING THOSE FROM TEXAS HOSPITAL ASSOCIATION, WERLING AND ASSOCIATES INC., AND THE UNITED WAY. CCGC ALSO USES THE SAN ANTONIO NFP WAGE AND BENEFITS SURVEY DURING THEIR REVIEW. THE MOST RECENT REVIEW WAS CONDUCTED IN MARCH OF 2016 AND DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES. form 990, part vi, section b, line 15b REVIEW OF OTHER OFFICER AND KEY EMPLOYEE COMPENSATION: OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED FOR BOTH PERFORMANCE AND COMPENSATION BASED UPON THE NORMAL PROCESS OF MEASURING AGAINST JOB DESCRIPTION AND SPECIFIC OBJECTIVES. COMPETITIVE SALARY SURVEYS ARE ALSO USED FOR COMPARISON ON A LOCAL AND NATIONAL BASIS. REVIEWS ARE ONGOING AND COMPLETED ON AN ANNUAL BASIS. THE REVIEWS ARE DOCUMENTED IN THE EMPLOYEE HR FILES. form 990, part vi, section c, line 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. form 990, part xi, line 9 OTHER CHANGES IN NET ASSETS: CHANGE IN FV OF INTEREST RATE PROTECTION AGREEMENTS $82,941 CHANGE IN INTEREST IN NET ASSETS OF SPP 74,763 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 11,908 ------------- TOTAL $169,612 Form 990, part vi, section a, line 1a Delegation of Authority: 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. UNIVERSITY CENTERS INC 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 742454683 SCH BEHV SPEC TX 501(C)(3) 3 CCGC true SOUTHWEST PSYCHIATRIC PHYSICIANS 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 742706271 PSYCH TRMT TX 501(C)(3) 3 CCGC true CHARITABLE TRUST (2) trust TX na TRUST true false true true true false false false false false false true true false false false false true true SOUTHWEST PSYCHIATRIC PHYSICIANS A 40376 fmv SOUTHWEST PSYCHIATRIC PHYSICIANS m 1109837 fmv SOUTHWEST PSYCHIATRIC PHYSICIANS d 301590 fmv SOUTHWEST PSYCHIATRIC PHYSICIANS e 98239 fmv SOUTHWEST PSYCHIATRIC PHYSICIANS L 153996 FMV