2011-11-14T15:06:44-06:00 2010-12-31 HEATHERINGTON & FIELDS CPA'S 1515 E 71ST ST STE 205 TULSA OK 741365039 990 2010-01-01 731280067 PARKSIDE INC PARK 9185822131 1620 E 12TH STREET TULSA OK 74120 JAMES WHITE 9185822131 2011-11-11 true JAMES WHEATHERINGTONCPA 9184961212 2011-11-14 X 2010 2016-03-07 17:11:31Z DEBRA E MOORE CEO 1620 E 12TH STREET TULSA OK 74120 11068442 false X WWW.PARKSIDEINC.ORG X 1991 OK AT PARKSIDE, WE STRIVE TO IMPROVE THE QUALITY OF LIFE OF THOSE AFFECTED BY MENTAL ILLNESS AND RELATED DISORDERS BY PROVIDING CARE WITH EXCELLENCE AND COMPASSION. 9 9 301 9 0 578824 960754 10521293 10076478 -6105 -25210 33432 31210 11127444 11043232 0 0 8152171 8065815 0 0 3199104 3245312 11351275 11311127 -223831 -267895 3216425 2988756 655161 695387 2561264 2293369 X AT PARKSIDE, WE STRIVE TO IMPROVE THE QUALITY OF LIFE OF THOSE AFFECTED BY MENTAL ILLNESS AND RELATED DISORDERS BY PROVIDING CARE WITH EXCELLENCE AND COMPASSION. false false 8807068 10076478 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. 8807068 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 false false false true false false false false false false false false false false false false false true false false false false true 7 0 301 true false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false OK X X JAMES WHITE 9185888874 1620 E 12TH STREET TULSA OK 74120 LETA J BELL 1.00 X 0 0 0 CONNIE S BOONE 1.00 X X 0 0 0 ROBERT S FARRIS 2.00 X X 0 0 0 SHARON GOULD 1.00 X 0 0 0 JOSEPH S JANKOWSKY 1.00 X 0 0 0 SHARON C SMALLWOOD MD 1.00 X 0 0 0 RONALD G RAYNOLDS 10.00 X X 0 0 0 JENNIFER L SEELY 1.00 X X 0 0 0 PAMELA A GOODWIN 1.00 X 0 0 0 DEBRA E MOORE 40.00 X 213056 0 0 JAMES J WHITE 40.00 X 114923 0 0 MARK A MEDLIN MD 40.00 X 140396 0 0 STEVEN L MOORE 40.00 X 101042 0 0 569417 4 false true false 960754 960754 NET PATIENT SERVICE REVENUE 10076478 10076478 10076478 25210 -25210 -25210 -25210 OTHER REVENUE 31210 31210 31210 11043232 10076478 6000 327979 327979 6336477 5440961 895516 120121 108938 11183 725433 657842 67591 555805 504059 51746 25527 25527 34719 34719 50701 50701 1488847 686746 802101 6927 6927 32320 26826 5494 234669 194775 39894 12530 10400 2130 8761 7272 1489 284063 184527 99536 201331 167105 34226 SUPPLIES AND OTHER 540559 515946 24613 OTHER OPERATING EXPENSES 324358 269217 55141 11311127 8807068 2504059 0 253067 131935 1060868 1010014 116546 109450 125398 89584 4337750 2689977 1660546 1647773 3216425 2988756 620685 695387 34476 655161 695387 X 2371316 2251352 189948 42017 2561264 2293369 3216425 2988756 -267895 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 2523435 1401474 1121961 1814315 1288503 525812 1647773 11043232 11311127 -267895 -267895 11674024 630792 630792 11043232 11043232 11941919 630792 630792 11311127 11311127 true true X true X true X true true true false false 123971 123971 0.01100 690588 690588 0.06110 574360 574360 0.05080 1388919 1388919 0.12280 1388919 1388919 0.12280 70243 17510 52733 0.00470 18241 12350 5891 0.00050 88484 29860 58624 0.00520 true 187175 1151440 1469154 -317714 X true true 4 1 ADULT HOSPITAL

1619 EAST 13TH STREET TULSA OK 74120

X 2 CHILDREN AND ADOLESCENT HOSPITAL

1619 EAST 13TH STREET TULSA OK 74120

X 3 OUTPATIENT CLINIC

1620 EAST 12TH STREET TULSA OK 74120

X 4 CHILDREN & ADOLESCENT RESIDENTIAL

1220 SOUTH TRENTON AVENUE TULSA OK 74120

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 X X X X 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 X X X X 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 X X X X true X false false CHILDREN & ADOLESCENT RESIDENTIAL 4 true true 100.0 true 200.0 true X X X X X true true X X X X X true false X X X X 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 COMMUNITY SUPPORT ARE THE FOLLOWING ACTIVITIES INCLUDING NEIGHBORHOOD SUPPORT GROUPS SUCH AS THE FOREST ORCHARD NEIGHBORHOOD ASSOCIATION ALSO THERE ARE VARIOUS COMMUNITY OUTREACH AND VOLUNTEER EFFORTS THRU THE UNITED WAY DAY OF CARING HABITAT FOR HUMANITY COMMUNITY FOOD BANK OF EASTERN OKLAHOMA AND PARTICIPATION IN SEVERAL COMMUNITY HEALTH FAIRS THE ORGANIZATION IS ALSO PROUD OF PATIENT AND COMMUNITY SUPPORT THROUGH PARKSIDES BY YOUR SIDE PROGRAMS THESE INCLUDE AN INTERNAL FOOD AND COMMODITIES PANTRY CLOTHING VOUCHERS PHARMACEUTICAL ASSISTANCE BOOK FAIR AND GARAGE SALES FOR PATIENTS ASSISTANCE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS INCLUDE EDUCATIONAL EVENTS THROUGHOUT THE YEAR SUCH AS WILLIAM YARBOROUGH MD DAVID OHLMS MD EDUCATING COMMUNITY MEMBERS ABOUT CLINICAL EXCELLENCE IN CHEMICAL DEPENDENCY TREATMENT OTHER EDUCATIONAL EVENTS INCLUDE VARIOUS BEHAVIORAL SUBJECTS TEACHING DIFFERENT PSYCHIATRIC ILLNESSES COMMUNITY BUILDING ACTIVITIES INCLUDE COALITION BUILDING AND COMMUNITY HEALTH IMPROVEMENTADVOCACY THRU ACTIVELY BEING INVOLVED WITH SEVERAL COMMUNITY TEAMS ALL OF WHICH WORK TO IMPROVE SYSTEMS AND COLLABORATION BETWEEN PROVIDERS IMPROVE ACCESS TO CARE AND ADDRESS COMMUNITY NEEDS AS FOLLOWS THE CHILDRENS BEHAVIORAL HEALTH TEAM THE BEHAVIORAL SYSTEM IMPROVEMENT PROCESS ADULT THE COMMUNITY BRIDGES TEAM FOCUSED ON FOSTER CARE AND STATE CUSTODY YOUTH THE NE OKLAHOMA OUTPATIENT PROVIDERS GROUP MEETING THE TULSA INPATIENT PROVIDERS MEETING OKLAHOMA UNIVERSITY PHYSICIAN RESIDENCY PROGRAM FOR ADOLESCENTS BAD DEBT EXPENSE EXPLANATION PART III LINE 4 FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS 123110 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 123110 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 RESIDENTIAL LINE NUMBER 4 PART V LINE 19D PART V LINE 19D MEDICAID RATES X X X false false false false false false false false false DEBRA E MOORE 213056 213056 234246 FIRST ACHIEVEMENT 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 935000 COST TULSA PSYCHIATRIC CENTER J 630792 FMV