2019-11-13T11:47:35-08:00 2018-12-31 271439588 Conklin Gilpin & Wertz PLLC 2738 E 51st Street Ste 370 Tulsa OK 741056285 990 2018-01-01 731280067 Parkside Inc PARK 9185888874 1620 E 12th Street Tulsa OK 74120 Paul D Ervin CFO 2019-11-13 true Shaun B Wertz P00174413 9187490921 2018 2020-03-31 21:24:44Z 1620 E 12th Street Tulsa OK 74120 14275974 false false X www.parksideinc.org X 1991 OK To provide outstanding mental health and support services. 10 10 316 2 0 15119318 287086 15541862 13948516 5536 -1177 44760 37266 30711476 14271691 0 0 9385347 10516614 0 0 5689169 4543573 15074516 15060187 15636960 -788496 31905908 32796795 1429325 3108708 30476583 29688087 To provide outstanding mental health and support services. false false 13375178 13948516 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 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. 13375178 true true false false false false false false false false true false false true false true 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 false false false true false false false true 77 0 true 316 true false false false false false false false false 0 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 false true true true true true true true false OK X X Paul D Ervin 9185888874 1620 E 12th Street Tulsa OK 74120 Angela Baker Director 1.50 0.00 X 0 0 0 Robert S Farris President 1.50 1.00 X X 0 0 0 Pamela McManus Goodwin Director 1.50 0.00 X 0 0 0 Ryan Lynch Director 1.50 0.00 X 0 0 0 Ronald G Raynolds Secretary 1.50 1.00 X X 0 0 0 Rosemary Harris Vice President 1.50 0.00 X X 0 0 0 Brett L Lessley Director 1.50 0.00 X 0 0 0 Phillip Sutterfield Treasurer 1.50 0.00 X X 0 0 0 Kathy LaFortune Director 1.50 0.00 X 0 0 0 Kenneth L Duncan Director 1.50 0.00 X 0 0 0 Paul D Ervin CFO 40.00 0.00 X 24231 0 0 Connie Johnson CFO 40.00 0.00 X 118321 0 0 Debra E Jones CEO 40.00 0.00 X 307341 0 24500 Virginia Heller Psych/Med Dir 40.00 0.00 X 372554 0 24500 Chariny M Herring Physician 40.00 0.00 X 242953 0 18500 Melody H Abraham Pharmacy Director 40.00 0.00 X 115876 0 2756 1181276 70256 5 false true false Program Management Group 601 S Boulder Ave Suite 120 Tulsa OK 74119 Construction Srvcs. 156779 Dion Owens 2325 W 30th St N Tulsa OK 74127 Medical Services 154966 Key Construction Oklahoma LLC 741 W 2nd St N Wichita KS 67203 Construction Srvcs. 12335676 Robison Medical Resource Group PO Box 202056 Dallas TX 75320 Medical Staffing 207069 Netsmart Technologies Inc PO Box 823519 Tulsa OK 74113 IT Services 146537 5 287086 287086 Net pt. svc rev - Inpat 621990 7750320 7750320 Net pt. svc rev - Outpat 621400 1121423 1121423 Net pt. svc rev - Resid 623990 2242170 2242170 Supp. Hospital Pmt Inc 900099 2834603 2834603 13948516 3106 3106 0 0 0 4283 -4283 -4283 -4283 0 0 0 Other Revenue 900099 37266 37266 37266 14271691 13981499 3106 X 0 0 0 0 474393 210584 263809 0 8435789 7628952 806837 166938 141718 25220 730802 659945 70857 708692 629193 79499 29511 23606 5905 11997 11997 37500 37500 0 0 0 2423533 2244704 178829 31730 30229 1501 14274 12842 1432 0 0 298364 273233 25131 18316 18170 146 0 11225 3890 7335 9412 9412 0 498580 453209 45371 179574 154359 25215 Bad Debt 478616 478616 Supplies 334458 305107 29351 Equipment Rental 110525 101180 9345 Dues and Licenses 40682 4183 36499 15276 1458 13818 15060187 13375178 1685009 0 14443092 8339161 750000 750000 0 979356 708778 0 0 0 58202 64908 224319 185697 25214366 4874864 6157673 20339502 0 0 0 0 9293266 2408749 31905908 32796795 1429325 3108708 1429325 3108708 X 16204762 29633545 14271821 54542 30476583 29688087 31905908 32796795 -788496 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3988128 2692832 1295296 3643675 2182032 1461643 17582563 17582563 20339502 Unconditional Promise to Give 2408749 2408749 X 14906766 630792 630792 14275974 -4283 -4283 14271691 15695262 630792 630792 15064470 -4283 -4283 15060187 Part X : FIN48 Footnote The 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. true true X true X true X true true false false true true 356802 356802 0.02450 8813191 6143819 2669372 0.18310 1321045 1269165 51880 0.00360 10491038 7412984 3078054 0.21120 10491038 7412984 3078054 0.21120 49526 30553 18973 0.00130 49526 30553 18973 0.00130 true 478616 1269165 655126 614039 X true true 4 1 Adult Hospital 1619 East 13th Street Tulsa OK 74012 www.parksideinc.org 2261 X A 2 Outpatient Clinic 1620 East 12th Street Tulsa OK 74120 www.parksideinc.org 2261 X A 3 Children & Adolescent Hospital 1220 South Trenton Street Tulsa OK 74120 www.parksideinc.org 2261 X X Licensed Residental Facility A 4 Adolescent Hospital 1619 East 13th Street Tulsa OK 74120 www.parksideinc.org 2261 X X A A 1234 false false true X X X X X X X X X 16 true false false true X http://www.parkside.org X true 16 true http://parksideinc.org/media/docs/parkside_chna_2016.pdf false false true X 100.0000 200.0000 X X X X true true X X X X true X http://parksideinc.org/media/docs/financ X X X X X X true X false X X X X true X false false Facility: A 1,2,3,4 - Part V, Section B, Line 5 SurveyParkside 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 11 All 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 22d Medicaid rates Part I, Line 7 - Explanation of Costing Methodology The 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 Expense Bad 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 Expense Patient 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 Benefit The 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 Patients When 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 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. Part VI, Line 3 - Patient Education of Eligibility for Assistance The 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 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. Part VI, Line 4 - Community Building Activities Parkside 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. X false false false false false false false false false false Chariny M Herring Physician 242893 60 18500 261453 Debra E Jones CEO 306549 792 24500 331841 Virginia Heller Psych/Med Dir 371030 1524 24500 397054 Form 990, Part VI, Line 11b: Form 990 Review Process The 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 Conflicts Written 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 Management The 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 Employees The Board of Directors annually reviews pertinent data, recommends and approves compensation. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available www.guidestar.orgThey are made available to the public upon request. Tulsa Psychiatric Center 1620 E 12th Street Tulsa OK 74120 730703797 Support OK 501c3 11 N/A false false false false false false false false false false false false false false false false false false false false