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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-09T13:47:45-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEATHERINGTON & FIELDS CPA'S | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 E 71ST ST STE 205 | AddressLine1 |
| City | TULSA | City |
| State | OK | State |
| ZIP Code | 741365039 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731280067 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKSIDE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PARK | NameControl |
| Phone | 9185822131 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1620 E 12TH STREET | AddressLine1 |
| City | TULSA | City |
| State | OK | State |
| ZIP Code | 74120 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SAUNYA D MOORE | Name |
| Title | CFO | Title |
| Phone | 9185822131 | Phone |
| Date Signed | 2012-11-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES WHEATHERINGTONCPA | Name |
| Phone | 9184961212 | Phone |
| Date Prepared | 2012-11-09 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DEBRA E MOORE CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1620 E 12TH STREET | AddressLine1 |
| City | TULSA | City |
| State | OK | State |
| ZIP Code | 74120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13808477 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PARKSIDEINC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | OK | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE OUTSTANDING MENTAL HEALTH AND SUPPORT SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 266 | TotalNbrEmployees |
| Total Nbr Volunteers | 4 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 960754 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1020852 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10076478 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12692509 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -25210 | InvestmentIncomePriorYear |
| Investment Income Current Year | -16750 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 31210 | OtherRevenuePriorYear |
| Other Revenue Current Year | 95116 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11043232 | TotalRevenuePriorYear |
| Total Revenue Current Year | 13791727 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8065815 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8729802 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3245312 | OtherExpensePriorYear |
| Other Expenses Current Year | 3287972 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11311127 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12017774 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -267895 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1773953 | RevenuesLessExpensesCY |
| Total Assets BOY | 2988756 | TotalAssetsBOY |
| Total Assets EOY | 4967814 | TotalAssetsEOY |
| Total Liabilities BOY | 695387 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 900492 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2293369 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4067322 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE OUTSTANDING MENTAL HEALTH AND SUPPORT SERVICES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 9472261 | Expense |
| Revenue | 12692509 | Revenue |
| Description | PARKSIDE, 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 Expense | 9472261 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 266 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OK | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SAUNYA MOORE | NamePerson |
| Telephone Number | 9185888874 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1620 E 12TH STREET | AddressLine1 |
| City | TULSA | City |
| State | OK | State |
| ZIP Code | 74120 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | TitleTitle | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| LETA J BELL | |||||||
| 0.33 | X | 0 | 0 | 0 | |||
| CONNIE S BOONE | |||||||
| 0.00 | X | 0 | 0 | 0 | TREASURER | X | |
| ROBERT S FARRIS | |||||||
| 0.62 | X | 0 | 0 | 0 | PRESIDENT | X | |
| SHARON GOULD | |||||||
| 0.31 | X | 0 | 0 | 0 | |||
| JOSEPH S JANKOWSKY | |||||||
| 0.00 | X | 0 | 0 | 0 | |||
| SHARON C SMALLWOOD MD | |||||||
| 0.15 | X | 0 | 0 | 0 | |||
| RONALD G RAYNOLDS | |||||||
| 0.65 | X | 0 | 0 | 0 | ASST TREASUR | X | |
| JENNIFER L SEELY MD | |||||||
| 0.31 | X | 0 | 0 | 0 | VICE PRESIDE | X | |
| PAMELA A GOODWIN | |||||||
| 0.23 | X | 0 | 0 | 0 | |||
| AF TONY RINGOLD | |||||||
| X | 0 | 0 | 0 | LEGAL COUNSE | |||
| DEBRA E MOORE | |||||||
| 40.00 | 210203 | 0 | 1764 | CEO | X | ||
| JAMES J WHITE | |||||||
| 40.00 | 124639 | 0 | 752 | CFO, SECRETA | X | ||
| MARK A MEDLIN MD | |||||||
| 40.00 | 251630 | 0 | 0 | PSYCHIATRIST | X | ||
| LARRY BOS | |||||||
| 40.00 | 106334 | 0 | 0 | MDAS | X | ||
| STEVEN L MOORE | |||||||
| 40.00 | 103637 | 0 | 516 | PHARMACY DIR | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 796443 | TotalReportableCompFromOrg |
| Total Other Compensation | 3032 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| All Other Contributions | 1020852 | AllOtherContributions |
| Total Contributions | 1020852 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| NET PATIENT SERVICE REVENUE | 10917156 | 10917156 |
| SUPPLEMENTAL HOSPITAL PMT INC | 1775353 | 1775353 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12692509 | TotalProgramServiceRevenue |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 16750 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -16750 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -16750 | TotalRevenueColumn |
| Exclusion | -$16,750 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Total Revenue Column | 95116 | TotalRevenueColumn |
| Exclusion | $95,116 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 95116 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13791727 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12692509 | RelatedOrExemptFunctionIncome |
| Exclusion | $78,366 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 334842 | Total |
| Management And General | 334842 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6957866 | Total |
| Program Services | 6044386 | ProgramServices |
| Management And General | 913480 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113303 | Total |
| Program Services | 103430 | ProgramServices |
| Management And General | 9873 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 731675 | Total |
| Program Services | 668092 | ProgramServices |
| Management And General | 63583 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 592116 | Total |
| Program Services | 540661 | ProgramServices |
| Management And General | 51455 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38772 | Total |
| Program Services | 38772 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24108 | Total |
| Management And General | 24108 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55520 | Total |
| Management And General | 55520 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1512861 | Total |
| Program Services | 685761 | ProgramServices |
| Management And General | 827100 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6304 | Total |
| Program Services | 6304 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37462 | Total |
| Program Services | 31093 | ProgramServices |
| Management And General | 6369 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239306 | Total |
| Program Services | 198624 | ProgramServices |
| Management And General | 40682 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16176 | Total |
| Program Services | 13426 | ProgramServices |
| Management And General | 2750 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3498 | Total |
| Program Services | 2903 | ProgramServices |
| Management And General | 595 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 293224 | Total |
| Program Services | 190478 | ProgramServices |
| Management And General | 102746 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232520 | Total |
| Program Services | 192992 | ProgramServices |
| Management And General | 39528 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES AND OTHER | 517371 | 485744 | 31627 |
| OTHER OPERATING EXPENSES | 242676 | 201421 | 41255 |
| REPAYMENT TO OSDH | 68174 | 68174 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12017774 | Total |
| Program Services | 9472261 | ProgramServices |
| Management And General | 2545513 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131935 | BOY |
| EOY | 100176 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1010014 | BOY |
| EOY | 3038413 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109450 | BOY |
| EOY | 106076 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89584 | BOY |
| EOY | 101572 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4470173 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2848596 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1647773 | BOY |
| EOY | 1621577 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2988756 | BOY |
| EOY | 4967814 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 695387 | BOY |
| EOY | 900492 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 695387 | BOY |
| EOY | 900492 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2251352 | BOY |
| EOY | 4000246 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42017 | BOY |
| EOY | 67076 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2293369 | BOY |
| EOY | 4067322 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2988756 | BOY |
| EOY | 4967814 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1773953 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2624339 | OtherCostOrOtherBasis |
| Depreciation | 1515057 | Depreciation |
| Book Value | 1109282 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1841984 | OtherCostOrOtherBasis |
| Depreciation | 1333539 | Depreciation |
| Book Value | 508445 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3850 | OtherCostOrOtherBasis |
| Book Value | 3850 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1621577 | TotalOfBookValueLandBuildings |
| Total Revenue | 13791727 | TotalRevenue |
| Total Expenses | 12017774 | TotalExpenses |
| Excess Or Deficit For Year | 1773953 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 1773953 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 14422519 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 630792 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 630792 | RevenueNotRptdF990 |
| Revenue Subtotal | 13791727 | RevenueSubtotal |
| Total Revenue Per Form990 | 13791727 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12648566 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 630792 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 630792 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12017774 | ExpensesSubtotal |
| Total Expenses Per Form990 | 12017774 | TotalExpensesPerForm990 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 143926 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 143926 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01200 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 711217 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 711217 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05920 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 492445 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 492445 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04100 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1347588 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1347588 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11210 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1347588 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1347588 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11210 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 90260 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 30910 | DirectOffsettingRevenue |
| Net Community Building Expense | 59350 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 14843 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 13252 | DirectOffsettingRevenue |
| Net Community Building Expense | 1591 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 105103 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 44162 | DirectOffsettingRevenue |
| Net Community Building Expense | 60941 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $203,907 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 1398283 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 1491151 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -92868 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 4 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | Business Name Line2Name/BusinessNameLine2 | OtherOther |
|---|---|---|---|---|---|---|---|
| ADULT HOSPITAL | |||||||
| 1 | 1619 EAST 13TH STREET | TULSA | OK | 74120 | X | ||
| CHILDREN AND ADOLESCENT HOSPITAL | |||||||
| 2 | 1619 EAST 13TH STREET | TULSA | OK | 74120 | X | AND RESIDENTIAL TREATMENT | LICENSED RESIDENTIAL FACILITY |
| OUTPATIENT CLINIC | |||||||
| 3 | 1620 EAST 12TH STREET | TULSA | OK | 74120 | X | ||
| CHILDREN & ADOLESCENT HOSPITAL | |||||||
| 4 | 1220 SOUTH TRENTON AVENUE | TULSA | OK | 74120 | X | AND RESIDENTIAL TREATMENT | LICENSED RESIDENTIAL FACILITY |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Medicaid MedicareMedicaidMedicare | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADULT HOSPITAL | ||||||||||||||||||||||||
| 1 | true | true | 100.0 | true | 200.0 | true | X | X | X | X | X | true | true | X | X | X | X | X | true | false | true | X | false | false |
| CHILDREN AND ADOLESCENT HOSPITAL | ||||||||||||||||||||||||
| 2 | true | true | 100.0 | true | 200.0 | true | X | X | X | X | X | true | true | X | X | X | X | X | true | false | true | X | false | false |
| OUTPATIENT CLINIC | ||||||||||||||||||||||||
| 3 | true | true | 100.0 | true | 200.0 | true | X | X | X | X | X | true | true | X | X | X | X | X | true | false | true | X | false | false |
| CHILDREN & ADOLESCENT HOSPITAL | ||||||||||||||||||||||||
| 4 | true | true | 100.0 | true | 200.0 | true | X | X | X | X | X | true | true | X | X | X | X | X | true | false | true | X | false | false |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE | PART I LINE 3C | PATIENTS 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 ACTIVITIES | PART II | COALITION 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 EXPLANATION | PART III LINE 4 | FOOTNOTE 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 EXPLANATION | PART III LINE 8 | THE 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 ASSESSMENT | PART VI | COMMUNITY 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 ASSISTANCE | PART VI | THE 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 INFORMATION | PART VI | THE 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 19D | PART V LINE 19D | MEDICAID RATES |
| CHILDREN AND ADOLESCENT HOSPITAL LINE NUMBER 2 PART V LINE 19D | PART V LINE 19D | MEDICAID RATES |
| OUTPATIENT CLINIC LINE NUMBER 3 PART V LINE 19D | PART V LINE 19D | MEDICAID RATES |
| CHILDREN ADOLESCENT HOSPITAL LINE NUMBER 4 PART V LINE 19D | PART V LINE 19D | MEDICAID RATES |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|
| DEBRA E MOORE | |||
| 210203 | 1764 | 211967 | 213056 |
| MARK A MEDLIN MD | |||
| 251630 | 251630 | 140396 | |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FIRST ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | 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. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE CEO AND CFO REVIEW FORM 990 BEFORE SUBMISSION TO THE IRS. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | WRITTEN POLICY IS IN THE CORPORATE COMPLIANCE PLAN AND IS MONITORED BY THE CORPORATE COMPLIANCE COMMITTEE. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS ANNUALLY REVIEWS PERTINENT DATA, RECOMMENDS AND APPROVES COMPENSATION. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD OF DIRECTORS ANNUALLY REVIEWS PERTINENT DATA, RECOMMENDS AND APPROVES COMPENSATION. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THEY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TULSA PSYCHIATRIC CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1620 E 12TH STREET | AddressLine1 |
| City | TULSA | City |
| State | OK | State |
| ZIP Code | 74120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730703797 | EIN |
| Primary Activities | SUPPORT | PrimaryActivities |
| Legal Domicile State | OK | LegalDomicileState |
| Exempt Code Section | 501C3 | ExemptCodeSection |
| Public Charity Status | 11D | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| TULSA PSYCHIATRIC CENTER | ||
| C | 945000 | COST |
| TULSA PSYCHIATRIC CENTER | ||
| J | 630792 | FMV |
Comments