2013-05-14T14:59:37-05:00 2012-06-30 BKD LLP 7901 Woodway Drive Suite 100 Waco TX 76712 990 2011-07-01 741153067 CLARITY CHILD GUIDANCE CENTER % MICHAEL BERNICK CLAR 2106160300 8535 Tom Slick Drive San Antonio TX 782293363 FREDERICK W HINES 2013-05-15 true Amanda Maya 2547768244 2011 2016-02-24 21:20:13Z FREDERICK W HINES 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 16493531 false X www.claritycgc.org X 1886 TX TO PROVIDE TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL AND/OR PSYCHIATRIC DISORDERS. 19 19 301 62 0 0 1646108 1767203 13434863 14510361 154809 134688 55050 29926 15290830 16442178 0 0 0 0 10571516 11125710 0 0 231420 4603923 4953596 15175439 16079306 115391 362872 15698872 15227484 6948343 6124606 8750529 9102878 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 THE COMMUNITY. false false 14160450 14576400 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; ROPES COURSES; BEHAVIOR MANAGEMENT; HIGHLY STRUCTURED ENVIRONMENT; AND EDUCATIONAL PROGRAMS. MAINTAINED A LOW STAFF TO PATIENT RATIO OF 1:3, LOGGED 14,312 INPATIENT DAYS, 1,907 PARTIAL HOSPITALIZATION DAYS, 15,706 OUTPATIENT VISITS AND PROVIDED CHARITY CARE, INDIGENT HEALTH CARE AND OTHER COMMUNITY BENEFITS DURING THE FISCAL YEAR. 14160450 true true false true false false false false false false true false false true false false false true false false false false false false true false true true false false true true false false false false false false false false false false true false false false false true true true false false true 30 0 true 301 true false false false false false false false false false false X 19 19 false false false false false false false true true false false false true true true true true true true false X MICHAEL BERNICK 2106160300 8535 TOM SLICK DRIVE San Antonio TX 782293363 PEGGY DEMING CPA 1.0 X X 0 0 0 PAUL R BROCHU 1.0 X X 0 0 0 SIMONE KELLY 1.0 X X 0 0 0 CHARLES MCLANE 1.0 X 0 0 0 DANIEL L LOPEZ PHD 1.0 X 0 0 0 MARK VICKERY 1.0 X 0 0 0 STEVE JANSMA 1.0 X X 0 0 0 KATHY BRUCK 1.0 X 0 0 0 SHIRLEY CRANDALL 1.0 X 0 0 0 DAVID DEWALL 1.0 X 0 0 0 MARK S HOWARD 1.0 X 0 0 0 AMY L PERRY 1.0 X 0 0 0 RUTH PINA 1.0 X 0 0 0 SHANNA M RAMIREZ 1.0 X 0 0 0 BEN SCOTT 1.0 X 0 0 0 JOHN SEYBOLD 1.0 X 0 0 0 JOHN A SOMMER JR 1.0 X 0 0 0 MARK HOWARD 1.0 X X 0 0 0 DAVID J WALICK MD 1.0 X 0 0 0 KAY SCROGGINS 1.0 X 0 0 0 FREDERICK W HINES 40.0 X 178567 0 0 MICHAEL BERNICK 40.0 X 156213 0 0 GINA MASSEY 40.0 X 108958 0 0 SHAWN OWENS 40.0 X 117096 0 0 GEOFFREY GENTRY 40.0 X 130141 0 0 CHRIS BRYAN 40.0 X 102579 0 0 REBECCA HELTERBRAND 40.0 X 7419 0 0 GERARD MIGEON 40.0 X 100105 0 0 901078 0 0 9 false true false PRINCE FOOD SYSTEMS 11001 WILDCREST DR STE 200 HOUSTON TX 77099 FOOD SERVICE 493859 UT HEALTH SCIENCE CENTER 7703 FLOYD CURL DR SAN ANTONIO TX 78229 PHYSICIAN SERVICES 466985 SOUTHWEST PSYCHIATRIC PHYSICIANS 8535 TOM SLICK SAN ANTONIO TX 78229 PHYSICIAN SERVICES 459485 3 935596 351226 61071 419310 100000 1767203 PATIENT SERVICE FEES 621110 14081277 14081277 PHYSICIAN OFFICE RENTAL 531120 429084 429084 14510361 134688 134688 0 0 0 15240 351226 51353 -36113 -36113 0 0 LUNCH TICKETS 722210 44698 44698 MEDICAL RECORDS 561000 12575 12575 MISCELLANEOUS REVENUE 900099 8766 8766 66039 16442178 14576400 98575 0 0 0 0 980311 401465 540097 38749 0 8784821 7923663 747046 114113 110563 92908 16084 1571 550063 489706 54052 6305 699952 602193 86342 11417 0 22347 16928 5419 48615 48615 1918 1918 0 0 1355207 1310592 14420 30195 67217 66515 702 1422910 1369000 43318 10592 0 0 438445 396733 37345 4367 16192 13375 2246 571 0 20230 16658 2737 835 268732 247075 19389 2268 0 590149 534004 50266 5878 226439 208133 16379 1927 BAD DEBT 412419 412419 PROMOTIONS AND SPECIAL EVENTS 19391 19056 335 DUES AND PUBLICATIONS 22094 17493 3065 1536 LICENSE AND REGISTRATION 16851 16851 4440 3765 616 59 16079306 14160450 1687436 231420 526066 276314 622099 598934 0 0 1614630 1997395 0 0 0 0 544413 225032 81589 106526 99494 135687 15917682 8114684 7599091 7802998 0 0 0 0 0 0 94047 84483 4517443 4000115 15698872 15227484 1974494 1407922 0 0 0 0 4973849 4716684 0 0 0 0 0 0 0 0 0 0 6948343 6124606 X 8750529 9102878 0 0 0 0 8750529 9102878 15698872 15227484 X 362872 -10523 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1918 1918 14158532 14160450 858023 214506 908772 858023 1766795 2650193 9550 1918 11468 227193 214506 441699 662549 7447 1918 9365 64221 64221 12055658 5504632 6551026 78353 78353 0 3719451 2531699 1187752 7802999 BOARD DESIGNATED FUNDS 4047571 INVESTMENT IN SUBSIDIARY -47456 4000115 16442178 16079306 362872 -10523 -10523 352349 16483008 -10523 51353 40830 16442178 16442178 16130659 51353 51353 16079306 16079306 RECONCILIATION OF REVENUE PER FINANCIAL STATEMEMENTS TO TAX RETURN SCHEDULE D, PART XII, LINE 2D DIRECT FUNDRAISING EXPENSE $51,353 ---------------------------------------- TOTAL $51,353 RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO TAX RETURN SCHEDULE D, PART XIII, LINE 2D DIRECT FUNDRAISING COSTS $51,353 ------------------------------------- TOTAL $51,353 GALA 362129 346889 15240 200 0 0 28240 2353 9787 5K RUN 4337 4337 0 528 1750 80 1000 7415 0 0 0 0 0 0 0 0 0 0 366466 351226 15240 200 528 1750 28320 3353 17202 51353 -36113 true true true X true X 500. true false true true 173618 149236 24382 0.00160 10451728 9211929 1239799 0.07910 852199 606793 245406 0.01570 11477545 9967958 1509587 0.09640 140839 140839 0.00900 417138 417138 0.02660 38225 38225 0.00240 596202 596202 0.03800 12073747 9967958 2105789 0.13440 false 412419 true false 1 1 CLARITY CHILD GUIDANCE CENTER

8535 TOM SLICK DRIVE SAN ANTONIO TX 78229

X X X CLARITY CHILD GUIDANCE CENTER 1 false true true 100 true 500. true X X X X X true true X X X X true false X X X true X false false 1 CLARITY CHILD GUIDANCE CENTER - OPC

2135 BABCOCK RD SAN ANTONIO TX 78229

OUTPATIENT BEHAVIOR HEALTH CLINIC BAD DEBT EXCLUDED IN CALCULATION OF PATIENT CARE COST TO CHARGES SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $412,419 WAS INCLUDED ON FORM 990, PART IV, LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION B, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE OF DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY 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 REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE BAD DEBT EXPENSE OF $412,419 ON LINE 2 IS THE BAD DEBT EXPENSE REPORTED FROM THE AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. MEDICARE SCHEDULE H, PART III, SECTION B, LINE 8 THE HOSPITAL USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS SCHEDULE H, PART III, SECTION C, LINE 9B 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, PATIENTS ARE ENCOURAGED TO APPLY FOR CHARITY CARE WHEN STAFF IS AWARE OF NEED. ADDITIONAL INFORMATION SCHEDULE H, PART V 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 V, SECTION B, LINE 15, 16 & 17 NEITHER CLARITY CHILD GUIDANCE CENTER, NOR THIRD PARTIES AUTHORIZED BY CCGC, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. DETERMINATION OF AMOUNTS BILLED FOR EMERGENCY CARE SCHEDULE H, PART V, SECTION B, LINE 19 FOR AMOUNTS BILLED TO INDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THE HOSPITAL USES A SLIDING SCALE DISCOUNT UP TO 500% OF FPL AND A DISCOUNT OF UP TO 50% OF POSTED RATES FOR PRIVATE PAY PATIENTS. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 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. PATIENT EDUCATION & ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 THE CENTER SERVES SAN ANTONIO LOCATED IN BEXAR COUNTY AND THE SURROUNDING COUNTIES OF SEGUIN, LAREDO, DEL RIO, AUSTIN AND VICTORIA. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 CLARITY PROVIDES EXPERT ADVICE ON MENTAL HEALTH TO VARIOUS COMMUNITY GROUPS. ADDITIONALLY, REPRESENTATIVES OF THE ORGANIZATION SIT ON THE CHILDREN'S MEDICAL DIRECTOR'S ROUND TABLE, THE YOUTH MENTAL HEALTH COUNCIL AND THE LOCAL COMMUNITY RESOURCE GUIDANCE COUNCIL. THERAPISTS AND DOCTORS PROVIDE ONGOING EDUCATION TO THE COMMUNITY THROUGH DIRECT EVENTS AND MEDIA RELATIONS. THE ORGANIZATION ALSO PROVIDES MEETING SPACE FOR CHILD PROTECTIVE SERVICES UNIT MEETINGS AND OTHER AREA AGENCIES AS REQUESTED. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 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. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 TEXAS X X X false false false false false false false false false FREDERICK W HINES 178567 0 0 0 0 0 0 0 0 178567 0 0 0 MICHAEL BERNICK 156213 0 0 0 0 0 0 0 0 156213 0 0 0 ROMAN FOREST CULTURAL ED 270047012 NONE00000 2006-05-09 6000000 CONSTRUCTION OF NEW ADMIN BUILDING false false false 0 0 6000000 0 0 3459074 120000 0 0 2420926 0 0 2008 false false true true false false false false false false 0.00000 0.00000 0.00000 false true false 0 false false false 0 false false X GROUND LEASE 1 100000 LAND VALUE false false false NONCASH CONTRIBUTION OF GROUND LEASE PART I, LINE 25 Clarity Child Guidance Center is located on land owned by San Antonio Medical Foundation. The Foundation has provided a 30-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. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF FINANCIAL STATEMENTS. BOTH THE CEO AND CFO REVIEW THE RETURN PRIOR TO FILING. IT IS ALSO REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED MEETING. EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS ADMINISTERED UNDER THE DIRECTION OF THE VICE PRESIDENT OF HUMAN RESOURCES. EMPLOYEES ARE OBLIGATED TO DISCLOSE ANY CONFLICTS AS DESCRIBED IN THE POLICY. THE VICE PRESIDENT OF HUMAN RESOURCES INVESTIGATES AND RESOLVES ANY CONCERNS. COMPENSATION REVIEW & APPROVAL PROCESS FOR CEO, EXEC. DIR., OR TOP MGMNT FORM 990, PART VI, SECTION B, LINE 15A THE CEO PERFORMANCE AND COMPENSATION IS REVIEWED BY THE COMPENSATION COMMITTEE USING FEEDBACK FROM OTHER KEY EMPLOYEES AND LOCAL AND NATIONAL SALARY SURVEYS INCLUDING THOSE FROM THA AND UNITED WAY. COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES FORM 990, PART VI, SECTION B, LINE 15B 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. OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONAL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS FORM 990, PART XII, LINE 2B THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS ALONG WITH THE RELATED ORGANIZATIONS UNIVERSITY CENTERS, INC. AND SOUTHWEST PSYCHIATRIC PHYSICIANS. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAIN ON INVESTMENTS $83,355 UNREALIZED LOSS ON INTEREST RATE SWAP -$95,399 UNREALIZED GAIN ON INVESTMENT IN SUBSIDIARY $ 1,521 --------------------------------------------------------- TOTAL CHANGES IN NET ASSETS -$10,523 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 true false false true true false false false false true true true false false false true true SOUTHWEST PSYCHIATRIC PHYSICIANS A 429084 BOOK VALUE SOUTHWEST PSYCHIATRIC PHYSICIANS L 465895 BOOK VALUE