Clarity Child Guidance Center
Nonprofit profile at a glance
- EIN
- 741153067
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- San Antonio, TX, US
- Phone
- 210-616-0300
- Rating
- 78
- Verdict
- SUPPORTED
- Rating confidence
- Standard
- Sector
- Psychiatric Hospitals
Reported finances
- Revenue
- $28,443,101
- Expenses
- $31,866,156
- Assets
- $41,345,285
- Liabilities
- $24,593,694
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
29 people listed
Executive titles in this filing
- Jessica Knudsen (President/CEO)
Highest reported compensation
- Jessica Knudsen (President/CEO): $238,832 total reported compensation
- Carol Carver (VP PATIENT SERVICES): $198,472 total reported compensation
- Derrick Flowers (VP FINANCE): $190,273 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Our mission is to support children and families in their pursuit of mental wellness.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Other-operating. 82% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 69
- Transparency & Controls: 85
- Accountability: 95
- Sustainability: 25
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 74.8%; rating input score 75
- Program expense ratio: 65.6%; rating input score 66
- Fundraising efficiency: $15.92 raised per $1 spent on fundraising; rating input score 51; 51st percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -12%; rating input score 9; 9th percentile among comparable filings
- Total-asset coverage ratio: 1.3; rating input score 46; 46th percentile among comparable filings
- Liabilities to assets ratio: 0.59; rating input score 23; 23rd percentile among comparable filings
- Officer compensation ratio: 6%; rating input score 42; 42nd percentile among comparable filings
Growth
- Program expense growth: 2.4% per year; rating input score 100; 21st percentile among comparable filings
- Revenue growth: 4.6% per year; rating input score 100; 40th percentile among comparable filings
- Asset growth: 5.8% per year; rating input score 100; 41st percentile among comparable filings
Details
- What they do: 8 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 74.8% of revenue deployed · 65.6% of spending went to programs
- Governance: 17 of 17 board members independent · 8 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $20.9M in reported program spending
- Leadership: top reported pay $239K · 29 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $6.2M reported
- Consistency: 35 of 35 current checks pass
- Schedules: 9 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 15 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 12 filed money-flow records
- Related organizations: 1 filed related-organization link
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Review — Financial Efficiency: Fundraising efficiency scored 51/100.
- High — Sustainability: Operating margin scored 9/100.
- Review — Accountability: Governance controls: Form 990 shared with the board not reported.
- Moderate — Sustainability: Total-asset coverage ratio scored 46/100.
- High — Sustainability: Liabilities to assets ratio scored 23/100.
- Moderate — Sustainability: Officer compensation ratio scored 42/100.