PARKSIDE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PARKSIDE INC (EIN 73-1280067)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-09
IRS object ID
201213149349302101
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-09T13:47:45-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HEATHERINGTON & FIELDS CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11515 E 71ST ST STE 205AddressLine1
CityTULSACity
StateOKState
ZIP Code741365039ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN731280067EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PARKSIDE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPARKNameControl
Phone9185822131Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11620 E 12TH STREETAddressLine1
CityTULSACity
StateOKState
ZIP Code74120ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSAUNYA D MOOREName
TitleCFOTitle
Phone9185822131Phone
Date Signed2012-11-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES WHEATHERINGTONCPAName
Phone9184961212Phone
Date Prepared2012-11-09DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBRA E MOORE CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11620 E 12TH STREETAddressLine1
CityTULSACity
StateOKState
ZIP Code74120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13808477GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PARKSIDEINC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE OUTSTANDING MENTAL HEALTH AND SUPPORT SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees266TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year960754ContributionsGrantsPriorYear
Contributions Grants Current Year1020852ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10076478ProgramServiceRevenuePriorYear
Program Service Revenue CY12692509ProgramServiceRevenueCY
Investment Income Prior Year-25210InvestmentIncomePriorYear
Investment Income Current Year-16750InvestmentIncomeCurrentYear
Other Revenue Prior Year31210OtherRevenuePriorYear
Other Revenue Current Year95116OtherRevenueCurrentYear
Total Revenue Prior Year11043232TotalRevenuePriorYear
Total Revenue Current Year13791727TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8065815SalariesEtcPriorYear
Salaries Etc Current Year8729802SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3245312OtherExpensePriorYear
Other Expenses Current Year3287972OtherExpensesCurrentYear
Total Expenses Prior Year11311127TotalExpensesPriorYear
Total Expenses Current Year12017774TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-267895RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1773953RevenuesLessExpensesCY
Total Assets BOY2988756TotalAssetsBOY
Total Assets EOY4967814TotalAssetsEOY
Total Liabilities BOY695387TotalLiabilitiesBOY
Total Liabilities EOY900492TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2293369NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4067322NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE OUTSTANDING MENTAL HEALTH AND SUPPORT SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9472261Expense
Revenue12692509Revenue
DescriptionPARKSIDE, INC. PROVIDES QUALITY MENTAL HEALTH SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF PARKSIDE, INC., IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MENTAL HEALTH SERVICES AND FURTHER, THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING MENTAL HEALTH SERVICES AND MENTAL HEALTH EDUCATION. THEREFORE, KEEPING THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY. FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST, AND MENTAL HEALTH CARE ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHEN THE NEED AND/OR INDIVIDUAL'S INABILITY TO PAY EXISTS. THESE ACTIVITIES INCLUDE COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY AND HANDICAPPED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. PARKSIDE, INC. PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, PARKSIDE, INC. RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. ALSO IN RECOGNIZING ITS MISSION TO THE COMMUNITY, PARKSIDE, INC. PROVIDES SERVICES TO THOSE UNABLE TO PAY. THESE CHARITY CARE SERVICES ARE UNREIMBURSED TO THE HOSPITAL. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES WHICH PARKSIDE, INC. BELIEVES WILL SERVE A LEGITIMATE COMMUNITY HEALTH NEED.Description
Total Program Service Expense9472261TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees266NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSAUNYA MOORENamePerson
Telephone Number9185888874TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11620 E 12TH STREETAddressLine1
CityTULSACity
StateOKState
ZIP Code74120ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

Average Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationTitleTitleOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
LETA J BELL
0.33X000
CONNIE S BOONE
0.00X000TREASURERX
ROBERT S FARRIS
0.62X000PRESIDENTX
SHARON GOULD
0.31X000
JOSEPH S JANKOWSKY
0.00X000
SHARON C SMALLWOOD MD
0.15X000
RONALD G RAYNOLDS
0.65X000ASST TREASURX
JENNIFER L SEELY MD
0.31X000VICE PRESIDEX
PAMELA A GOODWIN
0.23X000
AF TONY RINGOLD
X000LEGAL COUNSE
DEBRA E MOORE
40.0021020301764CEOX
JAMES J WHITE
40.001246390752CFO, SECRETAX
MARK A MEDLIN MD
40.0025163000PSYCHIATRISTX
LARRY BOS
40.0010633400MDASX
STEVEN L MOORE
40.001036370516PHARMACY DIRX
FieldValueIRS element (for citing)
Total Reportable Comp From Org796443TotalReportableCompFromOrg
Total Other Compensation3032TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions1020852AllOtherContributions
Total Contributions1020852TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE1091715610917156
SUPPLEMENTAL HOSPITAL PMT INC17753531775353
FieldValueIRS element (for citing)
Total Program Service Revenue12692509TotalProgramServiceRevenue

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other16750Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-16750Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-16750TotalRevenueColumn
Exclusion-$16,750ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Total Revenue Column95116TotalRevenueColumn
Exclusion$95,116ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue95116TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13791727TotalRevenueColumn
Related Or Exempt Function Income12692509RelatedOrExemptFunctionIncome
Exclusion$78,366ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total334842Total
Management And General334842ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6957866Total
Program Services6044386ProgramServices
Management And General913480ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total113303Total
Program Services103430ProgramServices
Management And General9873ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total731675Total
Program Services668092ProgramServices
Management And General63583ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total592116Total
Program Services540661ProgramServices
Management And General51455ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total38772Total
Program Services38772ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24108Total
Management And General24108ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total55520Total
Management And General55520ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1512861Total
Program Services685761ProgramServices
Management And General827100ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6304Total
Program Services6304ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total37462Total
Program Services31093ProgramServices
Management And General6369ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total239306Total
Program Services198624ProgramServices
Management And General40682ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total16176Total
Program Services13426ProgramServices
Management And General2750ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3498Total
Program Services2903ProgramServices
Management And General595ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total293224Total
Program Services190478ProgramServices
Management And General102746ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total232520Total
Program Services192992ProgramServices
Management And General39528ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES AND OTHER51737148574431627
OTHER OPERATING EXPENSES24267620142141255
REPAYMENT TO OSDH6817468174

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12017774Total
Program Services9472261ProgramServices
Management And General2545513ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY131935BOY
EOY100176EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1010014BOY
EOY3038413EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY109450BOY
EOY106076EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY89584BOY
EOY101572EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4470173LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2848596LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1647773BOY
EOY1621577EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2988756BOY
EOY4967814EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY695387BOY
EOY900492EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY695387BOY
EOY900492EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2251352BOY
EOY4000246EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY42017BOY
EOY67076EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2293369BOY
EOY4067322EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2988756BOY
EOY4967814EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1773953ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2624339OtherCostOrOtherBasis
Depreciation1515057Depreciation
Book Value1109282BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1841984OtherCostOrOtherBasis
Depreciation1333539Depreciation
Book Value508445BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3850OtherCostOrOtherBasis
Book Value3850BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1621577TotalOfBookValueLandBuildings
Total Revenue13791727TotalRevenue
Total Expenses12017774TotalExpenses
Excess Or Deficit For Year1773953ExcessOrDeficitForYear
Excess Or Deficit Per FS1773953ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14422519TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities630792DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990630792RevenueNotRptdF990
Revenue Subtotal13791727RevenueSubtotal
Total Revenue Per Form99013791727TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12648566TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities630792DonatedServicesUseOfFacilities
Expenses Not Rptd F990630792ExpensesNotRptdF990
Expenses Subtotal12017774ExpensesSubtotal
Total Expenses Per Form99012017774TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense143926TotalCommunityBenefitExpense
Net Community Benefit Expense143926NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense711217TotalCommunityBenefitExpense
Net Community Benefit Expense711217NetCommunityBenefitExpense
Percent Of Total Expense0.05920PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense492445TotalCommunityBenefitExpense
Net Community Benefit Expense492445NetCommunityBenefitExpense
Percent Of Total Expense0.04100PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1347588TotalCommunityBenefitExpense
Net Community Benefit Expense1347588NetCommunityBenefitExpense
Percent Of Total Expense0.11210PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1347588TotalCommunityBenefitExpense
Net Community Benefit Expense1347588NetCommunityBenefitExpense
Percent Of Total Expense0.11210PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense90260TotalCommunityBuildingExpense
Direct Offsetting Revenue30910DirectOffsettingRevenue
Net Community Building Expense59350NetCommunityBuildingExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense14843TotalCommunityBuildingExpense
Direct Offsetting Revenue13252DirectOffsettingRevenue
Net Community Building Expense1591NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense105103TotalCommunityBuildingExpense
Direct Offsetting Revenue44162DirectOffsettingRevenue
Net Community Building Expense60941NetCommunityBuildingExpense
Percent Of Total Expense0.00510PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$203,907BadDebtExpenseAmount
Amount Reimbursed By Medicare1398283AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare1491151CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-92868MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities4NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalBusiness Name Line2Name/BusinessNameLine2OtherOther
ADULT HOSPITAL
11619 EAST 13TH STREETTULSAOK74120X
CHILDREN AND ADOLESCENT HOSPITAL
21619 EAST 13TH STREETTULSAOK74120XAND RESIDENTIAL TREATMENTLICENSED RESIDENTIAL FACILITY
OUTPATIENT CLINIC
31620 EAST 12TH STREETTULSAOK74120X
CHILDREN & ADOLESCENT HOSPITAL
41220 SOUTH TRENTON AVENUETULSAOK74120XAND RESIDENTIAL TREATMENTLICENSED RESIDENTIAL FACILITY

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusMedicaid MedicareMedicaidMedicareExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
ADULT HOSPITAL
1truetrue100.0true200.0trueXXXXXtruetrueXXXXXtruefalsetrueXfalsefalse
CHILDREN AND ADOLESCENT HOSPITAL
2truetrue100.0true200.0trueXXXXXtruetrueXXXXXtruefalsetrueXfalsefalse
OUTPATIENT CLINIC
3truetrue100.0true200.0trueXXXXXtruetrueXXXXXtruefalsetrueXfalsefalse
CHILDREN & ADOLESCENT HOSPITAL
4truetrue100.0true200.0trueXXXXXtruetrueXXXXXtruefalsetrueXfalsefalse

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CAREPART I LINE 3CPATIENTS WHOSE GROSS INCOME FALLS BETWEEN 100 AND 200 OF THE FPG AUTOMATICALLY QUALIFY FOR A DISCOUNT PATIENTS WITH INCOME ABOVE 200 MUST COMPLETE A FINANCIAL APPLICATION TO DETERMINE THE AMOUNT OF THEIR DISPOSABLE INCOME PATIENTS WHOSE INCOME IS AT OR LESS THAN 100 OF THE FPG SHOULD BE REFERRED TO THE BUSINESS OFFICE COLLECTIONS POLICY TO DETERMINE INDIGENT CARE QUALIFICATIONS
COMMUNITY BUILDING ACTIVITIESPART IICOALITION BUILDING OR COMMUNITY HEALTH IMPROVEMENT ADVOCACY PARKSIDE IS ACTIVELY INVOLVED WITH SEVERAL COMMUNITY TEAMS ALL OF WHICH WORK TO IMPROVE SYSTEMS AND COLLABORATION BETWEEN PROVIDERS IMPROVE ACCESS TO CARE AND ADDRESS COMMUNITY NEEDS THE CHILDRENS BEHAVIORAL HEALTH TEAM THE BEHAVIORAL SYSTEM IMPROVEMENT PROCESS ADULT THE BUILDING COMMUNITY BRIDGES TEAM FOCUSED ON FOSTER CARE AND STATE CUSTODY YOUTH THE NE OKLAHOMA OUTPATIENT PROVIDERS GROUP MEETING THE TULSA INPATIENT PROVIDERS MEETING THE NORTH TULSA COMMUNITY COALITION THE CREEK COUNTY COMMUNITY PARTNERSHIP THE NOWATA RESOURCE COALITION THE MAYES COUNTY HOPE COALITION THE ROGERS COUNTY COALITION THE CRAIG COUNTY COMMUNITY PARTNERSHIP COMMUNITY SUPPORT FOREST ORCHARD NEIGHBORHOOD ASSOCIATION MEMBER AND PARTICIPANT IN ACTIVITIES POVIDED ONE PARKSIDE STAFF AS BOARD MEMBER TO TULSA ADVOCATES FOR PROTECTION OF CHILDREN MORTON FALL COMMUNITY HEALTH FESTIVAL NOV TURNING POINT FIT KIDS CONFERENCE OCT GOLDEN RULE CHARITIES COMMUNITY HEALTH FAIR AUG DEPARTMENT OF HUMAN RESOURCES AREA III RESOURCE FAIR JUNE PARKSIDE PROVIDES PROFESSIONAL CONTINUING EDUCATION OPPORTUNITIES BENEFITTING MENTAL HEALTH PROVIDERS FROM THROUGHOUT THE AREA MULTIPLE 2 AND 3 HOUR PROFESSIONAL CONTINUING EDUCATION SEMINARS WERE HOSTED IN 2011 AND ONE FULL DAY SEMINAR WITH DONALD MEICHENBAUM PHD WHAT EXPERT THERAPISTS DO CORE TASKS OF PSYCHOTHERAPY AND WAYS TO BOLSTER RESILIENCE A LIFE SPAN PERSPECTIVE WAS CONDUCTED OUTREACH HAS INCLUDED VOLUNTEER EFFORTS FOR UNITED WAY DAY OF CARING PARKSIDE PROVIDES PATIENT SUPPORT THROUGH THE BY YOUR SIDE PROGRAMS INCLUDING A FOOD PANTRY CLOTHING VOUCHERS MEDICATIONS ASSISTANCE CHILDRENS BOOK DISTRIBUTION AND TRANSPORTATION ASSISTANCE PARKSIDE ALSO HOSTS A COMMUNITY 5K RUNNING EVENT TO RAISE MONEY FOR THE OPERATION OF THESE PROGRAMS WORKFORCE DEVELOPMENT PHYSICIAN RECRUITMENT SEVERAL JOB FAIRS ANNUALLY USE OF INTERNS IN SEVERAL DEPARTMENTS STUDENT NURSE CLINICAL ROTATIONS
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS 123111 AS FOLLOWS PATIENT RECEIVABLES PATIENT RECEIVABLES ARE UNCOLLATERALIZED CUSTOMER AND THIRDPARTY PAYOR OBLIGATIONS PAYMENTS OF PATIENT RECEIVABLES ARE ALLOCATED TO THE SPECIFIC CLAIMS IDENTIFIED ON THE REMITTANCE ADVICE OR IF UNSPECIFIED ARE APPLIED TO THE EARLIEST UNPAID CLAIM THE CARRYING AMOUNT OF PATIENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENTS BEST ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND THIRDPARTY PAYORS MANAGEMENT REVIEWS PATIENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS DUE TO BAD DEBTS MANAGEMENT CONSIDERS HISTORICAL WRITE OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION CHARITY CARE TO FULFILL ITS MISSION OF COMMUNITY SERVICE THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE NOTE 2 CHARITY CARE THE HOSPITAL IS DEDICATED TO PROVIDING SERVICES FOR THE NEEDY AND ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY SUCH CARE IS PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS MEETING CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY BECAUSE THESE SERVICES WERE NEVER EXPECTED TO RESULT IN CASH FLOWS CHARITY CARE IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE THE COSTS INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN THE HOSPITALS OPERATING EXPENSES IN ADDITION THE HOSPITAL PROVIDES CARE FOR MEDICALLY INDIGENT PATIENTS COVERED UNDER THE MEDICAID PROGRAM AT RATES SUBSTANTIALLY BELOW ITS STANDARD CHARGES
MEDICARE EXPLANATIONPART III LINE 8THE ORGANIZATION PROVIDES SERVICES TO MEDICARE PATIENTS WITH A SHORTFALL DUE TO THE PROSPECTIVE PAYMENT SYSTEM WHERE PAYMENT RECEIVED IS LESS THAN COST THIS MEDICARE CLASS OF PATIENTS ARE DISABLED MEDICARE PATIENTS VERSUS AGED MEDICARE PATIENTS THAT ALSO HAVE MEDICAID AS A SECONDARY PAYER AND THUS ARE CLASSIFIED AS INDIGENT SERVICES ARE THEN PROVIDED AT BELOW COST THIS SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATIONS MISSION IS TO PROVIDE CARE WITH EXCELLENCE AND COMPASSION WE TREAT ALL PATIENTS REGARDLESS OF THE AMOUNT OF PAYMENT OR THE ABILITY TO PAY THE COSTING METHODOLGY IS OBTAINED FROM THE MEDICARE COST REPORT FOR YEAR ENDING 123111 THIS METHODOLGY IS A COST TO CHARGE RATIO METHOD WITH COST ALLOCATIONS BASED ON STATISTICS AND A COST STEPDOWN APPROACH
NEEDS ASSESSMENTPART VICOMMUNITY NEEDS ARE ASSESSED THROUGH AN ONGOING REVIEW OF PATIENT INTAKES THROUGH ADMITTING CHANNELS EXTERNAL ORGANIZATION VISITS IN THE COMMUNITY AND COMMUNITY COALITION GROUPS NEEDS FINDINGS INCLUDE AREAS OF SERVICE THAT PARKSIDE DOES NOT PROVIDE AND OR DO NOT EXIST IN VARIOUS COMMUNITIES ESPECIALLY IN RURAL AREAS THESE INCLUDE PATIENT TRANSPORTATION TO AND FROM THE FACILITY LACK OF SPECIAL HOUSING FOR CHRONIC MENTAL ILLNESS GERIATRIC PSYCHIATRIC CARE SPECIALTY AREAS SUCH AS MENTAL RETARDATION MEDICAL PROBLEMS PATIENTS WITH AUTISM ASBERGERS SERVICES FOR CHILDREN IN AGES 0 5 YEARS OLD ALZHEIMERS AND DEMENTIA ALSO A NEED EXISTS FOR ADDITIONAL PSYCHIATRIC INPATIENT BEDS FOR ADULTS AND CHILDREN
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VITHE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS THROUGH FINANCIAL OBLIGATIONS PROCEDURE BY PATIENT INTAKE INTERVIEWS TO DETERMINE THE METHOD THE PATIENT WILL UTILIZE TO SATISFY THEIR FINANCIAL OBLIGATION THEY ARE ALSO GIVEN A COPY OF THE FINANCIAL POLICY SUCH PATIENT LIABILITY WILL BE SATISFIED THROUGH DIRECT PAYMENT THIRD PARTY REIMBURSEMENTS GOVERNMENT PROGRAMS CONTRACTUAL FUNDINGS GRANTS OR OTHER MEANS OF PAYMENT ACCEPTABLE TO THE ORGANIZATION AT THE SAME TIME IF THE PATIENT IS UNABLE TO PAY OR DOES NOT HAVE ANY FUNDING SOURCES THEN THE PATIENT IS INFORMED OF PATIENT FINANCIAL ASSISTANCE THAT INCLUDES DISCOUNTED RATES OR CHARITY SERVICES BASED ON PERSONAL FINANCIAL INFORMATION OR INDIGENT STATUS
COMMUNITY INFORMATIONPART VITHE COMMUNITY GEOGRAPHIC AREA FOR PARKSIDE INCLUDES 20 EASTERN OKLAHOMA COUNTIES WITH RESPECTIVE POPULATIONS THE POPULATION FOR THESE COUNTIES FOR THE 2000 CENSUS WAS 1314129 AND PROJECTED FOR 2010 IS 1421157 OF THE TOTAL POPULATION APPROXIMATELY 42 IS AN URBAN POPULATION AND THE BALANCE IS RURAL OTHER HOSPITALS IN THE POPULATION AREA ARE PRIMARILY RURAL HOSPITALS THAT TOTAL 10 INDIVIDUAL RURAL HOSPITALS THE POPULATION SERVED IN THE COMMUNITY AND SPECIFICALLY FOR PARKSIDE PATIENTS INCLUDE 114 MEDICARE THAT ARE PRIMARILY ALSO MEDICAID 631 PRIMARY MEDICAID AND 17 UNINSURED FOR A TOTAL OF 762 INDIGENT AND UNINSURED POPULATION
ADULT HOSPITAL LINE NUMBER 1 PART V LINE 19DPART V LINE 19DMEDICAID RATES
CHILDREN AND ADOLESCENT HOSPITAL LINE NUMBER 2 PART V LINE 19DPART V LINE 19DMEDICAID RATES
OUTPATIENT CLINIC LINE NUMBER 3 PART V LINE 19DPART V LINE 19DMEDICAID RATES
CHILDREN ADOLESCENT HOSPITAL LINE NUMBER 4 PART V LINE 19DPART V LINE 19DMEDICAID RATES

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
DEBRA E MOORE
2102031764211967213056
MARK A MEDLIN MD
251630251630140396

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4AINDIVIDUAL'S INABILITY TO PAY EXISTS. THESE ACTIVITIES INCLUDE COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY AND HANDICAPPED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. PARKSIDE, INC. PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, PARKSIDE, INC. RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. ALSO IN RECOGNIZING ITS MISSION TO THE COMMUNITY, PARKSIDE, INC. PROVIDES SERVICES TO THOSE UNABLE TO PAY. THESE CHARITY CARE SERVICES ARE UNREIMBURSED TO THE HOSPITAL. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES WHICH PARKSIDE, INC. BELIEVES WILL SERVE A LEGITIMATE COMMUNITY HEALTH NEED.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE CEO AND CFO REVIEW FORM 990 BEFORE SUBMISSION TO THE IRS.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CWRITTEN POLICY IS IN THE CORPORATE COMPLIANCE PLAN AND IS MONITORED BY THE CORPORATE COMPLIANCE COMMITTEE.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS ANNUALLY REVIEWS PERTINENT DATA, RECOMMENDS AND APPROVES COMPENSATION.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD OF DIRECTORS ANNUALLY REVIEWS PERTINENT DATA, RECOMMENDS AND APPROVES COMPENSATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THEY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TULSA PSYCHIATRIC CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11620 E 12TH STREETAddressLine1
CityTULSACity
StateOKState
ZIP Code74120ZIPCode
FieldValueIRS element (for citing)
EIN730703797EIN
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateOKLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status11DPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
TULSA PSYCHIATRIC CENTER
C945000COST
TULSA PSYCHIATRIC CENTER
J630792FMV

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