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PARKSIDE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
PARKSIDE INC (EIN 73-1280067)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-13
IRS object ID
201933179349302568
Schema version
2018v3.1
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)
Return2019-11-13T11:47:35-08:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271439588PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Conklin Gilpin & Wertz PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12738 E 51st Street Ste 370AddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP741056285ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731280067EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Parkside IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPARKBusinessNameControlTxt
Phone9185888874PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11620 E 12th StreetAddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74120ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPaul D ErvinPersonNm
Person TitleCFOPersonTitleTxt
Signature2019-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonShaun B WertzPreparerPersonNm
PTINP00174413PTIN
Phone9187490921PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line11620 E 12th StreetAddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74120ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,275,974GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.parksideinc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTo provide outstanding mental health and support services.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee316TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$15,119,318PYContributionsGrantsAmt
CY Contributions Grants$287,086CYContributionsGrantsAmt
PY Program Service Revenue$15,541,862PYProgramServiceRevenueAmt
CY Program Service Revenue$13,948,516CYProgramServiceRevenueAmt
PY Investment Income$5,536PYInvestmentIncomeAmt
CY Investment Income-$1,177CYInvestmentIncomeAmt
PY Other Revenue$44,760PYOtherRevenueAmt
CY Other Revenue$37,266CYOtherRevenueAmt
PY Total Revenue$30,711,476PYTotalRevenueAmt
CY Total Revenue$14,271,691CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,385,347PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,516,614CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,689,169PYOtherExpensesAmt
CY Other Expenses$4,543,573CYOtherExpensesAmt
PY Total Expenses$15,074,516PYTotalExpensesAmt
CY Total Expenses$15,060,187CYTotalExpensesAmt
PY Revenues Less Expenses$15,636,960PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$788,496CYRevenuesLessExpensesAmt
Total Assets BOY$31,905,908TotalAssetsBOYAmt
Total Assets EOY$32,796,795TotalAssetsEOYAmt
Total Liabilities BOY$1,429,325TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,108,708TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$30,476,583NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,688,087NetAssetsOrFundBalancesEOYAmt
MissionTo provide outstanding mental health and support services.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$13,375,178ExpenseAmt
Revenue$13,948,516RevenueAmt
DescParkside, 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 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 ability 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.Desc
Total Program Service Expenses$13,375,178TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document77IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee316EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPaul D ErvinPersonNm
Phone9185888874PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11620 E 12th StreetAddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74120ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Angela Baker
Director1.500.00Yes (X)$0$0$0
Robert S Farris
President1.501.00Yes (X)$0$0$0Yes (X)
Pamela McManus Goodwin
Director1.500.00Yes (X)$0$0$0
Ryan Lynch
Director1.500.00Yes (X)$0$0$0
Ronald G Raynolds
Secretary1.501.00Yes (X)$0$0$0Yes (X)
Rosemary Harris
Vice President1.500.00Yes (X)$0$0$0Yes (X)
Brett L Lessley
Director1.500.00Yes (X)$0$0$0
Phillip Sutterfield
Treasurer1.500.00Yes (X)$0$0$0Yes (X)
Kathy LaFortune
Director1.500.00Yes (X)$0$0$0
Kenneth L Duncan
Director1.500.00Yes (X)$0$0$0
Paul D Ervin
CFO40.000.00$24,231$0$0Yes (X)
Connie Johnson
CFO40.000.00$118,321$0$0Yes (X)
Debra E Jones
CEO40.000.00$307,341$0$24,500Yes (X)
Virginia Heller
Psych/Med Dir40.000.00$372,554$0$24,500Yes (X)
Chariny M Herring
Physician40.000.00$242,953$0$18,500Yes (X)
Melody H Abraham
Pharmacy Director40.000.00$115,876$0$2,756Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,181,276TotalReportableCompFromOrgAmt
Total Other Compensation$70,256TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Program Management Group
601 S Boulder Ave Suite 120TulsaOK74119Construction Srvcs.$156,779
Dion Owens
2325 W 30th St NTulsaOK74127Medical Services$154,966
Key Construction Oklahoma LLC
741 W 2nd St NWichitaKS67203Construction Srvcs.$12,335,676
Robison Medical Resource Group
PO Box 202056DallasTX75320Medical Staffing$207,069
Netsmart Technologies Inc
PO Box 823519TulsaOK74113IT Services$146,537
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$287,086AllOtherContributionsAmt
Total Contributions$287,086TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net pt. svc rev - Inpat621990$7,750,320$7,750,320
Net pt. svc rev - Outpat621400$1,121,423$1,121,423
Net pt. svc rev - Resid623990$2,242,170$2,242,170
Supp. Hospital Pmt Inc900099$2,834,603$2,834,603
FieldValueIRS element (for citing)
Total Program Service Revenue$13,948,516TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,106TotalRevenueColumnAmt
Exclusion$3,106ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,283OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,283OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,283TotalRevenueColumnAmt
Related Or Exempt Func Income-$4,283RelatedOrExemptFuncIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther RevenueDesc
Business900099BusinessCd
Total Revenue Column$37,266TotalRevenueColumnAmt
Related Or Exempt Func Income$37,266RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$37,266OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,271,691TotalRevenueColumnAmt
Related Or Exempt Func Income$13,981,499RelatedOrExemptFuncIncomeAmt
Exclusion$3,106ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$474,393TotalAmt
Program Services$210,584ProgramServicesAmt
Management And General$263,809ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,435,789TotalAmt
Program Services$7,628,952ProgramServicesAmt
Management And General$806,837ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$166,938TotalAmt
Program Services$141,718ProgramServicesAmt
Management And General$25,220ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$730,802TotalAmt
Program Services$659,945ProgramServicesAmt
Management And General$70,857ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$708,692TotalAmt
Program Services$629,193ProgramServicesAmt
Management And General$79,499ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$29,511TotalAmt
Program Services$23,606ProgramServicesAmt
Management And General$5,905ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,997TotalAmt
Management And General$11,997ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,500TotalAmt
Management And General$37,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,423,533TotalAmt
Program Services$2,244,704ProgramServicesAmt
Management And General$178,829ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$31,730TotalAmt
Program Services$30,229ProgramServicesAmt
Management And General$1,501ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,274TotalAmt
Program Services$12,842ProgramServicesAmt
Management And General$1,432ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$298,364TotalAmt
Program Services$273,233ProgramServicesAmt
Management And General$25,131ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,316TotalAmt
Program Services$18,170ProgramServicesAmt
Management And General$146ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$11,225TotalAmt
Program Services$3,890ProgramServicesAmt
Management And General$7,335ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,412TotalAmt
Management And General$9,412ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$498,580TotalAmt
Program Services$453,209ProgramServicesAmt
Management And General$45,371ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$179,574TotalAmt
Program Services$154,359ProgramServicesAmt
Management And General$25,215ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt$478,616$478,616
Supplies$334,458$305,107$29,351
Equipment Rental$110,525$101,180$9,345
Dues and Licenses$40,682$4,183$36,499

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,276TotalAmt
Program Services$1,458ProgramServicesAmt
Management And General$13,818ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,060,187TotalAmt
Program Services$13,375,178ProgramServicesAmt
Management And General$1,685,009ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,443,092BOYAmt
EOY$8,339,161EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$750,000BOYAmt
EOY$750,000EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$979,356BOYAmt
EOY$708,778EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$58,202BOYAmt
EOY$64,908EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$224,319BOYAmt
EOY$185,697EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,214,366LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,874,864LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,157,673BOYAmt
EOY$20,339,502EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,293,266BOYAmt
EOY$2,408,749EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,905,908BOYAmt
EOY$32,796,795EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,429,325BOYAmt
EOY$3,108,708EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,429,325BOYAmt
EOY$3,108,708EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,204,762BOYAmt
EOY$29,633,545EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,271,821BOYAmt
EOY$54,542EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,476,583BOYAmt
EOY$29,688,087EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,905,908BOYAmt
EOY$32,796,795EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$788,496ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,988,128OtherCostOrOtherBasisAmt
Depreciation$2,692,832DepreciationAmt
Book Value$1,295,296BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,643,675OtherCostOrOtherBasisAmt
Depreciation$2,182,032DepreciationAmt
Book Value$1,461,643BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,582,563OtherCostOrOtherBasisAmt
Book Value$17,582,563BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,339,502TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescUnconditional Promise to GiveDesc
Book Value$2,408,749BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,408,749TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,906,766TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$630,792DonatedServicesAndUseFcltsAmt
Revenue Not Reported$630,792RevenueNotReportedAmt
Revenue Subtotal$14,275,974RevenueSubtotalAmt
Other Revenues Not Included-$4,283OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$4,283RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,271,691TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,695,262TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$630,792DonatedServicesUseFcltsAmt
Expenses Not Reported$630,792ExpensesNotReportedAmt
Expenses Subtotal$15,064,470ExpensesSubtotalAmt
Other Expenses Not Included-$4,283OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$4,283ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,060,187TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationThe accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under that guidance, the Hospital may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the organization and various positions related to the potential sources of unrelated business taxable income. The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities for fiscal year ending December 31, 2018 and 2017.The Hospital files income tax returns in the U.S. Federal jurisdiction and the state of Oklahoma. The statute of limitations for both federal and Oklahoma tax returns is three years, therefore all tax returns filed over three years ago are no longer subject to examination.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$356,802TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$356,802NetCommunityBenefitExpnsAmt
Total Expense0.02450TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,813,191TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,143,819DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,669,372NetCommunityBenefitExpnsAmt
Total Expense0.18310TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,321,045TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,269,165DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,880NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,491,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,412,984DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,078,054NetCommunityBenefitExpnsAmt
Total Expense0.21120TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,491,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,412,984DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,078,054NetCommunityBenefitExpnsAmt
Total Expense0.21120TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,526TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,553DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,973NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,526TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,553DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,973NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$478,616BadDebtExpenseAmt
Reimbursed By Medicare$1,269,165ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$655,126CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$614,039MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndFacility Reporting GroupFacilityReportingGroupCdEmergency Room OtherEmergencyRoomOtherIndOtherOtherDesc
Adult Hospital
11619 East 13th StreetTulsaOK74012www.parksideinc.org2261Yes (X)A
Outpatient Clinic
21620 East 12th StreetTulsaOK74120www.parksideinc.org2261Yes (X)A
Children & Adolescent Hospital
31220 South Trenton StreetTulsaOK74120www.parksideinc.org2261Yes (X)AYes (X)Licensed Residental Facility
Adolescent Hospital
41619 East 13th StreetTulsaOK74120www.parksideinc.org2261Yes (X)AYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1234FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.parkside.orgOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://parksideinc.org/media/docs/parkside_chna_2016.pdfStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.0000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://parksideinc.org/media/docs/financFAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: A 1,2,3,4 - Part V, Section B, Line 5SurveyParkside AssociatesStaff at the Counseling and Recovery CALM CenterKey persons at Grand Lake Mental HealthTulsa area representative from CREOKS Behavioral HealthKey representatives from Cherokee Nation Behavioral HealthKey representatives from Choctaw Nation Behavioral HealthKey representatives from Muscogee Creek Nation Behavioral HealthCOPES team membersCounseling and Recovery Services staffStaff at Tulsa Center for Behavioral HealthJenks Family Physicians officeLake Area Medical StaffMorton Comprehensive Health CareOSU PediatricsPsychiatric Associates of TulsaMental Health Associate in TulsaNational Alliance for Mental Illness (NAMI Tulsa)211Tulsa Health DepartmentSapulpa Indian Health ClinicVA Outpatient ClinicUrgent Care of Green CountryThree C's Medical ClinicPolice Departments: Tulsa, Jenks and BixbyOU Juvenile Personnel Training ProgramRogers County Youth ServicesCounselors at Tulsa elementary, middle and high schools (email list)Tulsa area mental health practitioners (email list) (independent practitioners and practices such as Health Concepts, Daybreak Family Services, etc.)Tulsa area chemical dependency treatment practitioners (email list)Tulsa area hospitals (email list) (St. Francis, St. John, Hillcrest, OSU, Bailey, St. Francis South)Tulsa area charitable organizations (email list) (Volunteers of America, DVIS, Child Abuse Network, Parent Child Center, Owasso Community Resources, Iron Gate, Human Skills and Resources, Youth Services of Tulsa et.al.)Stakeholder surveys were also available on paper for Parkside patients and were distributed in cooperation with Crossroads Clubhouse.
Facility: A 1,2,3,4 - Part V, Section B, Line 11All identified needs are being addressed via the implementation strategy.See description in electronic attachment to the return.
Facility: A 1,2,3,4 - Part V, Section B, Line 22dMedicaid rates

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing MethodologyThe costing methodology for line 7a is calculated using a patient cost-to-charge ratio as computed using Worksheet 2, Ratio of Patient Care Cost-to-Charges. Calculation of Worksheet 2 represents a percentage of adjusted patient care cost to gross patient charges. The percentage calculated using Worksheet 2 is multiplied by the patient charges written off under financial assistance policies to arrive at the community benefit expense.The costing methodology for line 7b is calculated using a patient cost-to-charge ratio as computed using Worksheet 2, Ratio of Patient Care Cost-to-Charges. Gross patient charges related to Medicaid are multiplied by the percentage calculated in Worksheet 2 to arrive at the community benefit expense related to Medicaid. Direct offsetting revenue represents net Medicaid patient service revenue (gross Medicaid patient service revenue less Medicaid contractual adjustments). The costing methodology for line 7c is calculated using a patient cost-to-charge ratio as computed using Worksheet 2, Ratio of Patient Care Cost-to-Charges. Gross patient charges related to other means tested government programs (Medicare)are multiplied by the percentage calculated in Worksheet 2 to arrive at the community benefit expense related to other means tested government programs. Direct offsetting revenue represents net patient revenue from other means tested government programs (gross patient service revenue less contractual adjustments).
Part I, Line 7, Column F - Explanation of Bad Debt Expense$478,616 of bad debt expense included on Form 990, Part IX, line 25 column (A) was subtracted for purposes of calculating the percentage in this column.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseBad debt expense is comprised of actual patient write-offs, patient recoveries and an estimate of patient uncollectible accounts receivable at any point in time. Patient write-offs and patient recoveries are recorded consistent with collections policies and procedures. The estimate of patient uncollectible accounts receivable, net of any related discounts, is based on review of balance aging and historical collection rates adjusted accordingly for any prospective circumstances that can impact future collection rates, and are determined consistent with collections policies and procedures. Bad debt expense relates to patient responsible balances. Contractual insurance adjustments and any related uncollectible estimates on such receivable balances are included in net patient service revenue.
Part III, Line 4 - Bad Debt ExpensePatient receivables are uncollateralized customer and third-party 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. Management reviews patient receivables by age and payor class and applies percentages to determine estimated 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. The portion of the valuation allowance related to the provision for amounts that will not be collected from patients due to bad debts is disclosed on the balance sheet. Generally, amounts due from patients and third-party payors that reach 180 days old are charged off as uncollectible based on managements review and approval.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe costing methodology is obtained from the Medicare cost report for the year ending 12/31/2018. This methodology is a cost to charge ratio method with cost allocations based on statistics and a cost step-down approach.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsWhen a patient(s) account has not received an appropriate payment for 120 days or more, it is to be considered delinquent and collections procedures will begin. Upon receipt of notification of an account being delinquent, the file will be reviewed to see if there are extenuating circumstances for non-payment such as A. Deceased patient.B. Bankruptcy filed. C. Indigent or Charity Care.D. If one or more of these situations are not present, then the account balance is considered for further collections.E. If one or more of these situations are present, then the account is considered for bad debt write-off and/or charity care write-off.Indigent or Charity care is determined by using the Federal poverty guidelines. If the patient's account is determined indigent or charity care, then the account is written-off to charity care. If an account is sent for collections, the process is as follows:A. Notification will be sent to the patient's primary provider that the patient has not complied with terms of their payment agreement or is delinquent in paying their co-pays.B. Clinical staff is expected to discuss the outstanding balance with the patient and encourage the patient to be compliant. 1.) The Patient is requested to contact the Business Office to make payment arrangements. 2.) If the patient continues in a delinquent status with the account, it is then the clinical staff's responsibility to make any clinical decisions on deferring services.The collector only becomes involved after a payment agreement has been signed or the patient is discharged. The collector will first call the patient, if a phone number is available, to request payment in full or make arrangement with the patient for payment of the debt. The collector will send collections letters, approved by the CFO, to any patient that is unreachable by telephone. Collections letters will be sent in sequential order. After the initial 120 days, the maximum time a collector will spend collecting an account is 60 days unless other arrangements are made with the patient. At this time, the final disposition decision of the account should be made such as writing-off the account or adjustment to the balance. In order to insure the legal and ethical integrity of Parkside, all collections practices will conform to the guidelines of the Fair Debt Collection Practices Act.
Part VI, Line 2 - Needs AssessmentCommunity needs are monitored via ongoing review of patient intakes and requests for service, external organization visits in the community and participation in community coalitions.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceThe organization informs and educates patients and persons through financial obligations procedures by patient intake interview 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, the patient is informed of patient financial assistance that includes discounted rates or charity services based on personal financial information or indigent status.
Part VI, Line 4 - Community InformationParksides greatest number of patients come from the Tulsa metropolitan area. The vast preponderance of outpatients live within 15 miles of Tulsa. Inpatient population tends to include more individuals from outlying areas due to the fact that Tulsa is a medical hub for all of Eastern Oklahoma in terms of specialty services including psychiatry.
Part VI, Line 4 - Community Building ActivitiesParkside actively participates in several community teams or coalitions in Tulsa and immediately surrounding areas, all of which work to improve systems and collaboration between providers, improve access to care and address community needs:Oklahoma Psychiatric Hospital AssociationTulsa Regional Chamber of CommerceTulsa Building Community Bridges MeetingRogers County Community CoalitionPartners for Ottawa County MeetingCreek County Community Providers MeetingTulsa Inpatient Providers MeetingNowata Resource Council MeetingMayes County HOPE CoalitionWashington County Association for Mental HealthOologah Community CoalitionTulsa Children's Behavioral Health TeamOkmulgee County CoalitionOsage County Partnership MeetingOkfuskee County CoalitionWagoner County Family Services CouncilLincoln County Providers MeetingIndian Health Care Resources Center Advisory TeamCommunity Support Activities:Staff Presentation at Crisis Care Center (January 2018)Presentation to Tulsa Public Schools Nurses and Health Aids (January 2018)Oklahoma Counseling Association Conference (February 2018)Oklahoma Suicide Prevention Conference (February 2018)StepUp Rally at the Capitol (February 2018)Tulsa Regional Chamber of Commerce Capitol Lunch with Legislators (March 2018)OKDHS Tulsa Downtown All Staff Meeting presentation (March 2018)OKDHS Tulsa Skyline All Staff Meeting presentation (March 2018)Oklahoma Nurses Association Opioid Epidemic Conference (March 2018) OU-MSW Student Assn. Professional Development day (March 2018)National Crime Victims Rights Week event at the Tulsa Co. Courthouse (April 2018)Oklahoma Child Abuse & Neglect Conference (April 2018)Oklahoma Drug & Alcohol Professional Counselors Association Conference (April 2018)Staff Presentations at the North Regional Health & Wellness Center (April 2018)Professional Education Presentation by Ken Moore for F&CS Staff (April 2018) By Your Side 5K Run (April 2018)Wagoner County Family Fun Day (May 2018)Oklahoma Childrens Behavioral Health Conference (May 2018)Claremore Indian Hospital Kids Health & Safety Fair (June 2018) Staff Presentation Tulsa County Juvenile Bureau (July 2018)Osage County Community Coalition CSSRS training (July 2018)Partners for Ottawa Co County Back to School Bash (August 2018) Indian Health Services Purchased and Referred Care Conference (August 2018)OU School of Community Medicine Resource Fair (August 2018)Oologah Back to School Fair (August 2018)Rogers County Back to School Bash (August 2018) Rogers State University Big Tent Day (August 2018)Rudisill Library Back to School Fair Sapulpa Library Summer Reading Program ExhibitMuscogee Creek Nation HOPE Conference (September 2018)Staff Presentation Sapulpa High School (September 2018)Muskogee Family Fun Fest (September 2018)Oklahoma Public Health Association Conference (September 2018)Tulsa Regional Chamber of Commerce One Voice Summit (October 2018)Oklahoma Prevention & Recovery Conference (October 2018)Zarrow Mental Health Symposium (October 2018)Health fairs at Tulsa Community College West Campus, NE Campus and SE Campus (October 2018)Pharmacology Presentation to Owasso Schools Staff (November 2018)Oklahoma Psychological Association Convention (November 2018)National Alliance for Mental Illness Tulsa Holiday Party (December 2018)In 2018, community professional education offerings totaling 22 class hours included: ACEs, Injuries & Healing - Jeremy Elledge, LCSW (3 CEUs) March 2018Play Therapy with Traumatized Children and Adolescents - Sharolyn Wallace, Ph.D., LCSW (3 CEUs) April 2018ARC Treatment Model: Attachment, Regulation and Competency in the Treatment of Children and Adolescents With Complex Trauma - Sara Coffey, D.O. (3 CEUs) July 2018Engaging with Youth & Families - Kenneth Moore, LCSW (3 CEUs) August 2018Columbia Suicide Risk Severity Scale Assessment Tool in Clinical Practice - Kenneth Moore, LCSW (1 CEU) August 2018Right vs. Wrong and Right vs. Right: Health Care Ethics and Not-Wrong Decisions - Bruce Hodson, Ph.D. (3 CEUs) September 2018Addiction, Medical Illness and Trauma: Brain-Changing Techniques for Recovery - Jennifer Sweeton, Psy.D. (6 CEUs) November 2018Outreach included events at Tulsa Housing Authority sites and health fairs offering depression screenings, blood pressure checks or suicide prevention information. Parkside maintains an on-going patient assistance program which includes a food pantry, vouchers for clothing purchase, medications assistance, transportation assistance program and book distribution to encourage reading. A small, internally operated thrift store assists patients with other basic needs. Parkside hosts a community 5K running event annually to help with funding of the patient assistance program.Workforce Development:Physician and other professional recruitmentParticipation in several job fairs annuallyUse of interns in several work areasStudent nurse and student pharmacist rotationsNeeds Assessment:Community needs are monitored via ongoing review of patient intakes and requests for service, external organization visits in the community and participation in community coalitions.Community Information:Parksides greatest number of patients come from the Tulsa metropolitan area. The vast preponderance of outpatients live within 15 miles of Tulsa. Inpatient population tends to include more individuals from outlying areas due to the fact that Tulsa is a medical hub for all of Eastern Oklahoma in terms of specialty services including psychiatry.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Chariny M Herring
Physician$242,893$60$18,500$261,453
Debra E Jones
CEO$306,549$792$24,500$331,841
Virginia Heller
Psych/Med Dir$371,030$1,524$24,500$397,054

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe CEO, CFO, and Finance Chair review the Form 990 before submission to the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsWritten policy is in the Corporate Compliance Plan and is monitored by the Corporate Compliance Committee. Conflict of interest policy is reviewed by Board and management for potential conflicts annually.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe Board of Directors annually reviews pertinent data, recommends and approves compensation.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe Board of Directors annually reviews pertinent data, recommends and approves compensation.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Availablewww.guidestar.orgThey are made available to the public upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Tulsa Psychiatric CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11620 E 12th StreetAddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74120ZIPCd
FieldValueIRS element (for citing)
EIN730703797EIN
Primary ActivitiesSupportPrimaryActivitiesTxt
Legal Domicile StateOKLegalDomicileStateCd
Exempt Code Section501c3ExemptCodeSectionTxt
Public Charity Status11PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd