2012-11-09T13:47:45-06:00 2011-12-31 HEATHERINGTON & FIELDS CPA'S 1515 E 71ST ST STE 205 TULSA OK 741365039 990 2011-01-01 731280067 PARKSIDE INC PARK 9185822131 1620 E 12TH STREET TULSA OK 74120 SAUNYA D MOORE 9185822131 2012-11-09 true JAMES WHEATHERINGTONCPA 9184961212 2012-11-09 X 2011 2016-02-24 21:20:13Z DEBRA E MOORE CEO 1620 E 12TH STREET TULSA OK 74120 13808477 false X WWW.PARKSIDEINC.ORG X 1991 OK TO PROVIDE OUTSTANDING MENTAL HEALTH AND SUPPORT SERVICES. 10 10 266 4 0 960754 1020852 10076478 12692509 -25210 -16750 31210 95116 11043232 13791727 0 0 8065815 8729802 0 0 3245312 3287972 11311127 12017774 -267895 1773953 2988756 4967814 695387 900492 2293369 4067322 X TO PROVIDE OUTSTANDING MENTAL HEALTH AND SUPPORT SERVICES. false false 9472261 12692509 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. 9472261 true true false false false false false false false false true false false false false false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false false true 6 0 266 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false OK X X SAUNYA MOORE 9185888874 1620 E 12TH STREET TULSA OK 74120 LETA J BELL 0.33 X 0 0 0 CONNIE S BOONE 0.00 X X 0 0 0 ROBERT S FARRIS 0.62 X X 0 0 0 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 X 0 0 0 JENNIFER L SEELY MD 0.31 X X 0 0 0 PAMELA A GOODWIN 0.23 X 0 0 0 AF TONY RINGOLD X 0 0 0 DEBRA E MOORE 40.00 X 210203 0 1764 JAMES J WHITE 40.00 X 124639 0 752 MARK A MEDLIN MD 40.00 X 251630 0 0 LARRY BOS 40.00 X 106334 0 0 STEVEN L MOORE 40.00 X 103637 0 516 796443 3032 5 false true false 1020852 1020852 NET PATIENT SERVICE REVENUE 10917156 10917156 SUPPLEMENTAL HOSPITAL PMT INC 1775353 1775353 12692509 16750 -16750 -16750 -16750 OTHER REVENUE 95116 95116 95116 13791727 12692509 78366 334842 334842 6957866 6044386 913480 113303 103430 9873 731675 668092 63583 592116 540661 51455 38772 38772 24108 24108 55520 55520 1512861 685761 827100 6304 6304 37462 31093 6369 239306 198624 40682 16176 13426 2750 3498 2903 595 293224 190478 102746 232520 192992 39528 SUPPLIES AND OTHER 517371 485744 31627 OTHER OPERATING EXPENSES 242676 201421 41255 REPAYMENT TO OSDH 68174 68174 12017774 9472261 2545513 0 131935 100176 1010014 3038413 109450 106076 89584 101572 4470173 2848596 1647773 1621577 2988756 4967814 695387 900492 695387 900492 X 2251352 4000246 42017 67076 2293369 4067322 2988756 4967814 1773953 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 2624339 1515057 1109282 1841984 1333539 508445 3850 3850 1621577 13791727 12017774 1773953 1773953 14422519 630792 630792 13791727 13791727 12648566 630792 630792 12017774 12017774 true true X true X true X true true false false 143926 143926 0.01200 711217 711217 0.05920 492445 492445 0.04100 1347588 1347588 0.11210 1347588 1347588 0.11210 90260 30910 59350 0.00490 14843 13252 1591 0.00010 105103 44162 60941 0.00510 true 203907 1398283 1491151 -92868 X true true 4 1 ADULT HOSPITAL

1619 EAST 13TH STREET TULSA OK 74120

X 2 CHILDREN AND ADOLESCENT HOSPITAL AND RESIDENTIAL TREATMENT

1619 EAST 13TH STREET TULSA OK 74120

X LICENSED RESIDENTIAL FACILITY 3 OUTPATIENT CLINIC

1620 EAST 12TH STREET TULSA OK 74120

X 4 CHILDREN & ADOLESCENT HOSPITAL AND RESIDENTIAL TREATMENT

1220 SOUTH TRENTON AVENUE TULSA OK 74120

X LICENSED RESIDENTIAL FACILITY 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 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 false false false false false false false false false DEBRA E MOORE 210203 1764 211967 213056 MARK A MEDLIN MD 251630 251630 140396 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. TULSA PSYCHIATRIC CENTER 1620 E 12TH STREET TULSA OK 74120 730703797 SUPPORT OK 501C3 11D N/A false false false true false false false false false false true false false false false false false false false TULSA PSYCHIATRIC CENTER C 945000 COST TULSA PSYCHIATRIC CENTER J 630792 FMV