2026-05-14T16:51:36+00:00 2025-06-30 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2024-07-01 741153067 CLARITY CHILD GUIDANCE CENTER CLAR 2106160300 8535 TOM SLICK DRIVE SAN ANTONIO TX 782293363 JESSICA KNUDSEN Chief Executive Officer/President 2055826417 2026-05-14 true Andrew J Gray P01517705 9727028262 2025-05-15 2024 2025-03-06 01:10:19Z JESSICA KNUDSEN 8535 TOM SLICK DRIVE SAN ANTONIO TX 782293363 31165824 false X WWW.CLARITYCGC.ORG X 1886 TX TO PROVIDE TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL AND/OR PSYCHIATRIC DISORDERS. 17 17 427 17 0 0 7188969 4971002 23443179 22694357 1776161 639610 54918 138132 32463227 28443101 0 0 20170749 23001865 0 312328 12817054 8864291 32987803 31866156 -524576 -3423055 43114465 41345285 24044925 24593694 19069540 16751591 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 20897203 22801623 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 20,568 INPATIENT DAYS, 5,937 PARTIAL HOSPITALIZATION DAYS, 10,695 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 $19,537,055 FOR INPATIENT CARE, $1,797,996 FOR THE PARTIAL HOSPITALIZATION PROGRAM, AND $565,022 FOR OUTPATIENT CARE. 20897203 true true false true false 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 false false true false false false false true true true false false true 31 0 true 427 false false false false false false false false false false false false X 17 17 false false false false false false false true true false false false false true true true true true true true false false X Steven Beckman 2106160300 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 ALEXANDER RAPP SECRETARY 1.0 0.0 X X 0 0 0 Peggy Deming TREASURER & FINANCE COMMITTEE CHAIR 1.0 0.0 X X 0 0 0 REED HURLEY CHAIR 1.0 0.0 X X 0 0 0 SHANNA RAMIREZ CHAIR ELECT 1.0 0.0 X X 0 0 0 TONY LOBASSO IMMEIDATE PAST 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 & PROFESSIONAL ISSUES & STANDARDS COMMITTEE CHAIR 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 GINA JORDAN DIRECTOR 1.0 0.0 X 0 0 0 John Seybold DIRECTOR 1.0 0.0 X 0 0 0 Mesha Millsap DIRECTOR 1.0 0.0 X 0 0 0 YVONNE GONZALES DIRECTOR 1.0 0.0 X 0 0 0 Carol Carver VP PATIENT SERVICES 40.0 0.0 X 185997 0 12475 Chris Bryan VP INFORMATION TECH 40.0 0.0 X 155013 0 7812 Derrick Flowers VP FINANCE 40.0 0.0 X 186670 0 3603 Geoffrey Gentry VP CLINICAL SERVICES 40.0 0.0 X 174244 0 14070 Gina Massey VP HUMAN RESOURCES 40.0 0.0 X 147282 0 18171 Jessica Knudsen President/CEO 40.0 0.0 X 208931 0 29901 Melissa Mireles VP - MARKETING & DEVELOPMENT 40.0 0.0 X 101472 0 18837 Alice Martinez Director - Patient Access 40.0 0.0 X 116869 0 14095 Alycia Kraemer REGISTERED NURSE III 40.0 0.0 X 124710 0 4107 Joe L Nerios DIRECTOR - NURSING SERVICES 40.0 0.0 X 140131 0 2389 Jose Arredondo NURSE 40.0 0.0 X 118574 0 4042 Rick Edwards Director - IP Programs 40.0 0.0 X 117591 0 13150 1777484 0 142652 15 false true false FA Nunnelly Company 922 N PanAm Expy San Antonio TX 78208 Construction 2371971 Southwest Psychiatric Phys 8535 Tom Slick San Antonio TX 78229 Physicians Services 1641802 Prince Food Systems Inc 11001 Wilcrest Dr Houston TX 77099 Food Services 900201 Alamo City Contracting LLC 5265 NFM 3465 Adkins TX 78101 Minor construction, maintenance and repairs. 636302 Netsmart Technologies Inc POBox 823519 Philadelphia PA 19182 Electronic health records and health information exchanges 611124 16 4971002 71002 4971002 Patient Service Revenue 621110 22222055 22222055 Physician Office Rental 531120 239573 239573 Support Personnel/Service 900099 232729 232729 0 0 0 0 22694357 186484 186484 0 0 3175849 2722723 453126 0 453126 453126 Lunch Tickets 721210 24589 24589 Medical Records 561000 7475 7475 Insurance Proceeds 900099 6277 6277 99791 99791 0 0 138132 28443101 22801623 0 670476 1264478 0 1264478 0 16425611 15237148 1181563 6900 3589032 542027 3047004 1 1722744 1667250 54216 1278 49999 1035 48964 2186 2186 0 0 0 0 65615 61479 4136 1099713 1012587 87100 26 90568 1129 89439 1576751 850394 714297 12060 18719 8894 9798 27 10278 4300 5978 433975 433975 273469 100 273369 1820840 75353 1744361 1126 425901 425901 Bad Debt Expense 1163917 762972 389542 11403 Program Contracts 934239 244682 430998 258559 Program Supplies 497349 446099 49921 1329 Miscellaneous Expense 400772 43233 342056 15483 0 0 0 0 31866156 20897203 10656625 312328 375603 962251 4132628 2293489 3180838 2350839 2145054 3046101 0 0 0 0 1281434 1695288 78726 53978 236079 235899 47561831 23285271 24277630 24276560 4241086 3239298 0 0 59764 3105623 3191582 43114465 41345285 14909399 12278835 229131 230027 0 0 7996216 7699133 910179 4385699 24044925 24593694 X 13183219 13262569 5886321 3489022 19069540 16751591 43114465 41345285 X -3423055 334922 770184 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 20897202 20897202 1000000 0 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 0 1523 6426 0 7949 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 0 18931111 -18931111 41430457 0 41430457 4120259 3319779 800480 2011115 1034381 976734 24276560 Investment in SPP 1358332 Beneficial Interest in Perpetual Trust 1195286 Operating Lease 637964 3191582 Federal Income Taxes Due to Affiliate 54255 ROU Operating Lease Liability 744921 Estimated Amounts due to third party payors 3586523 4385699 30238186 334922 12625 3393006 3740553 26497633 1945468 1945468 28443101 30714863 12625 0 12625 30702238 1163918 1163918 31866156 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. true true X true X true X 500 169297 0 169297 0.00551 18257645 14861961 3395684 0.11060 3354159 2143087 1211072 0.03945 0 0 21781101 17005048 4776053 0.15556 473110 0 473110 0.01541 358720 0 358720 0.01168 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 831830 0 831830 0.02709 0 0 22612932 17005048 5607884 0.18265 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 1163918 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 24 true false false true X https://www.claritycgc.org/reports/ X true 24 true hhttps://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 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, 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 City of San Antonio, Bexar County, Texas Lyceum, Annie E. Casey Foundation, Child Stats, Kids County Data Center, American Association of Child and Adolescent Psychiatry, Texas Democratic Center and American Psychological Association, among others. Community Input was also taken from an April 2024 Survey by the City of San Antonio that was made up of 22 high school students appointed by the mayor and city council members. Additionally, from a poll of parent of public-school student K-12 by the National PTA Association and the CDC Foundation. 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. Clarity took action by launching the following initiatives since our last published CHNA in 2021: 1. HEROES: The Campaign for Clarity - a $16 million, multi-phase capital campaign - launched in 2022 that will allow Clarity to serve an additional 1,000 kids a year. The goals of the campaign are: -Renovate an existing building into an 8-bed unit dedicated to children and teens with very complex issues. The new unit will provide dedicated space for programming and a private, secure courtyard. It is estimated the eight additional beds will allow Clarity to serve an additional 700 children per year. - Expand the kitchen and renovate the dining room to serve our growing number of patients. - Build out the existing shell building on the third floor of the Outpatient Building to allow for 4,500 more outpatient appointments annually. - Expand the Crisis Services Department to provide critical assessments to an additional 60 kids per month. 2. In the past three years, Clarity created two programs to address the current national predicament: limited access to a mental health professional. First Step is a one-time consultation for families who are not sure what their child needs or where to get it. The child receives a thorough assessment, a psychologist conducts an interview and the results are then reviewed with the family in order to identify areas of concern. A care coordinator works with the family to connect patients to an appropriate level of care. The Next Step center connects families to services in order to provide immediate, transitional outpatient therapy, including brief therapy, bridge appointments, school referrals and care coordination services. 3. In 2024, Clarity and the Southside Independent School District Board of Trustees approved a first-of-its-kind partnership to have an on-site mental health center housed on their high school campus. Southside ISD is primarily rural; therefore, transportation and access to mental health is challenging as there are no psychiatrists and only two known therapists in the South San Antonio area zip codes. Clarity will provide onsite services regardless of families' ability to pay to Southside ISD students including partial hospitalization, crisis assessments, and individual and family therapy sessions. 4. Trauma-informed Care - Clarity estimates 90% of patients have experienced trauma-whether it's "Big T Trauma", like physical and/or sexual abuse, or "Little t trauma", such as witnessing domestic violence, lack of housing or food, neglect or verbal abuse, emotional detachment, and/or loss or separation from relative. Research has shown that child trauma survivors may experience higher incidences of learning problems, lower grades, more suspensions and expulsions; increased use of health and mental health services; increased involvement with the child welfare and juvenile justice systems; and are more likely to experience long-term health problems (e.g., diabetes and heart disease). Clarity began the transition to trauma-informed care treatment over 13 years ago. Over the last year, it has taken it a step further, and require all members of the Clarity staff to participate in training. Clarity has also applied to become a Trauma Informed Care campus. This extensive certification process, conducted by the Ecumenical Center, will "build resilience and empower individuals by providing physical, psychological, and emotional support through the principles of safety, trustworthiness and empowerment." 5. In response to the shooting tragedy at Robb Elementary School in Uvalde, Texas in 2022, Clarity professionals traveled to Uvalde to offer free counseling. It also coordinated and still provides a three-prong program-underwritten by a grant from H-E-B-offering: - Three telehealth assessment stations at Uvalde community partner locations: Children's Bereavement Center in Uvalde. This will allow Clarity staff to complete a level of care assessment and determine if hospitalization is required, avoiding unnecessary trips to San Antonio and back to Uvalde. - Trauma-informed transportation using Alternative Transportation Solutions to the hospital or treatment center of the parents' choice. ATS utilizes behavioral health-trained drivers and aides that transport children in unmarked vans designed specifically for behavioral health transports. - Offer gas cards to Uvalde families so that trips to San Antonio for in-person sessions and transportation back home after discharge are not a financial burden. 6. Clarity is an original partner of the San Antonio Mobile Mental Wellness Collaborative with Jewish Family Services of San Antonio, Family Service Association, Rise Recovery and the Children's Bereavement Center of South Texas. The first of its kind in the nation, this collaborative serves as an upstream collaboration of nonprofits focusing on behavioral health prevention so that our area public schools do not have to focus fully on intervention. Through each agency's expertise, professionals are able to work with all student age groups and meet their behavioral health needs in their own learning environment, incorporating parents and guardians, teachers, and administrative staff into the mental wellness program. Services are offered on school district property or virtually to help eliminate the transportation barrier that often limits access to mental health services. Partners now include Clarity, Rise Recovery, Family Service Association, Joven and Endeavors. 7. Clarity continues to host Claritycon, an annual children's mental health conference that provides professional development (including CEUs and CNEs) by 40+ renowned experts to 500+ educators, therapists, physicians, nurses, social workers, mental health professionals and community members from the region. Claritycon 2024 was the 11th anniversary of the conference, reaching a record number of attendees. 8. In May 2024, Texas Public Radio and Clarity Child Guidance Center collaborated to host a free film screening of Screenagers-an award-winning documentary about raising teens in the scary world of social media - to the community. A panel discussion was held to address attendees questions related to mental health and social media. The film's creator Delaney Ruston, MD, provided the keynote presentation for Claritycon 2024. 10 community health needs assessment December 2024 9. In 2023 and 2024, Clarity participated in the Texas Cavaliers River Parade, making Clarity visible to the 250,000+ people who attend the parade and the additional 300,000 people watching the parade on TV. Clarity was invited to participate again in 2025. 10. Clarity prioritizes volunteer and donation initiatives. Food for the Soul invites volunteers to serve a meal to the kids. Bridge the Gap and an onsite food pantry provide food and clothing for patients. Our Amazon wish list includes clothing ideas and educational supplies that individuals can purchase throughout the year. Giving Tree is our holiday campaign where churches, businesses or organizations host a Giving Tree during November and December to gather presents for the children receiving inpatient treatment at Clarity's hospital over the holidays. 11. Clarity executed a customized ad campaign in 2024 to reach target markets and community-at-large in San Antonio and central/south Texas to educate the public about Clarity's services, new programs, Claritycon and other events. Publications included main-stream media as well as communication vehicles for nonprofit agencies. Clarity's services, new programs, Claritycon and other events. 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 V, Section B, Line 8 The hospital facility is reporting a non-willful failure to meet the timing requirement under section 501(r)(3) and Treasury Regulation §1.501(r)-3 relating to formal adoption of its implementation strategy following completion of its community health needs assessment (CHNA). The CHNA for the hospital facility was completed in June 2025 for the taxable year ended June 30, 2025. Under the applicable rule, the implementation strategy was required to be adopted by the governing body on or before November 15, 2025. Although the implementation strategy was fully developed and in use by June 2025, the governing body did not formally adopt the implementation strategy until May 2026. This failure occurred at a single hospital facility and involved a single occurrence relating to the implementation strategy associated with the CHNA for the taxable year ended June 30, 2025. The cause of the failure was an inadvertent administrative oversight in routing and tracking the item for timely governing body approval. The hospital facility otherwise maintained section 501(r) compliance policies and procedures, and the failure did not involve any deficiency in the substantive content of the implementation strategy or any delay in making the strategy publicly available. The hospital reported that the CHNA was conducted and described the implementation strategy on Form 990, Schedule H for the taxable year ended June 30, 2025. No patients, community members, or other individuals were financially affected by this failure. The failure had no financial assistance policy, limitation-on-charges, or billing and collection implications. The failure was corrected in May 2026 when the governing body formally adopted the implementation strategy and publicly posted it on the website. In connection with that correction, the hospital confirmed that the implementation strategy used since June 2025 was consistent with the version formally adopted by the governing body. To prevent recurrence, the hospital revised its section 501(r) compliance procedures to require a documented compliance calendar and approval checklist for CHNAs and related implementation strategies, including specific routing, deadline tracking, and confirmation of governing body action. Oversight of these procedures has been assigned to the compliance officer, who is responsible for monitoring completion of required approvals within the applicable deadlines. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 1163928 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 520,000. THE MEDIAN FAMILY INCOME IN THE COUNTY IS $69,807 WITH 14.7% OF HOUSEHOLDS UNDER THE POVERTY RATE. 74.4% of all households living in poverty were families with dependents. 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 10,695 OUTPATIENT VISITS AND 26,505 HOSPITAL DAYS (20,568 INPATIENT & 5,937 PARTIAL HOSPITALIZATION PROGRAM) OF CARE FOR THE CHILDREN OF OUR COMMUNITY IN FISCAL YEAR 2025. IN FY25, 5,114 UNDUPLICATED CHILDREN RECEIVED SERVICES AND AS A NONPROFIT, THEY WERE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR THE TREATMENT PROVIDED. OVERALL, CLARITY CGC STAFF ORGANIZED AND/OR ATTENDED OVER 300 IN-PERSON, VIRTUALMEETINGS, PRESENTATIONS AND REFERRAL VISITS MAKING OVER 6,500 PROFESSIONAL OR FAMILY CONTACTS WITH INFORMATION ABOUT CLARITY CGC OR CHILDREN'S MENTAL HEALTH. OUR WEBSITE ATTRACTED OVER 89,000 ACTIVE USERS RESULTING IN OVER 350,000 VIEWS. OUR YOUTUBE CHANNEL RECEIVED OVER 71,000 CHANNEL VIEWS, 6,500 HOURS OF WATCH TIME, AND 254 NEW SUBSCRIBERS. ADDITIONALLY, ACROSS OUR SOCIAL MEDIA PLATFORMS, WE MADE OVER 1,800,000 IMPRESSIONS THROUGH BOTH ORGANIC AND PAID METHODS. 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 Carol Carver VP PATIENT SERVICES 185254 0 0 0 743 0 2793 0 9682 0 198472 0 0 0 Chris Bryan VP INFORMATION TECH 154419 0 0 0 594 0 2372 0 5440 0 162825 0 0 0 Geoffrey Gentry VP CLINICAL SERVICES 173501 0 0 0 743 0 2646 0 11424 0 188314 0 0 0 Gina Massey VP HUMAN RESOURCES 146688 0 0 0 594 0 2282 0 15889 0 165453 0 0 0 Derrick Flowers VP FINANCE 186283 0 0 0 387 0 2779 0 824 0 190273 0 0 0 Jessica Knudsen President/CEO 208724 0 0 0 207 0 2102 0 27799 0 238832 0 0 0 X Toys & Clothing 40 71002 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - Toys & Clothing 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 2025 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 - Total Revenue: 99791, Related or Exempt Function Revenue: 99791, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTEREST IN NET ASSETS OF SPP - 159728; CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS - 54429; NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF PPE - 556027; Total - 770184; SOUTHWEST PSYCHIATRIC PHYSICIANS 8535 TOM SLICK DRIVE SAN ANTONIO TX 78229 742706271 PSYCHIATRIC TREATMENT TX 501(c)(3) 3 CCGC true Charitable Remainder Trust (3) Beneficial Trust TX NA false true false false true false false false false false true false true true false true true true true true SOUTHWEST PSYCHIATRIC PHYSICIANS P 1581732 FMV SOUTHWEST PSYCHIATRIC PHYSICIANS Q 232729 FMV SOUTHWEST PSYCHIASTRIC PHYSICIANS A 71122 FMV