2017-11-14T09:29:48-08:00 2016-12-31 Conklin Gilpin & Wertz PLLC 2738 E 51st Street Ste 370 Tulsa OK 741056285 990 2016-01-01 731280067 Parkside Inc PARK 9185888874 1620 E 12th Street Tulsa OK 74120 Connie Johnson CFO 2017-11-13 true Shaun B Wertz P00174413 9187490921 2016 2017-02-10 21:41:12Z 16338214 false false X www.parksideinc.org X 1991 OK To provide outstanding mental health and support services. 10 10 308 6 0 581385 2468073 14510100 13818521 1086 -4469 30711 30613 15123282 16312738 0 0 9406883 9235607 0 0 3774818 6517137 13181701 15752744 1941581 559994 15518645 15812060 1239016 972437 14279629 14839623 To provide outstanding mental health and support services. false false 14222048 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. 14222048 true true false false false false false false false false true false false true false true false 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 true false false false false true false false false false true 81 0 true 308 true false false false false false false false false 0 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 Connie Johnson CFO 9185888874 1620 E 12th Street Tulsa OK 74120 Leta J Bell 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 Sharon Gould Treasurer 1.50 1.00 X X 0 0 0 Ronald G Raynolds Asst Treasurer 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 Secretary 1.50 0.00 X X 0 0 0 Kenneth L Duncan Director 1.50 0.00 X 0 0 0 Bart J Trentham PhD Director 1.50 0.00 X 0 0 0 James J White CFO 40.00 0.00 X 118853 0 17681 Debra E Jones CEO 40.00 0.00 X 267629 0 24585 Virginia Heller Psych/Med Dir 40.00 0.00 X 365475 0 24792 Kathryn G Bishop Unit Director 40.00 0.00 X 93801 0 8169 Janet Trogdon Nurse Pract. 40.00 0.00 X 118030 0 3453 Andrew Hayes Dir of Pharmacy 40.00 0.00 X 113557 0 12344 1077345 91024 5 false true false Wozencraft and Associates PLLC 1619 S Boston Tulsa OK 74119 Architect Services 493599 Marvin Y Jin MD PO Box 14088 Broken Arrow OK 74014 Psychiatric Services 155087 Netsmart Technologies PO Box 823519 Philadelphia PA 19182 Computer Services 379467 Robison Medical Resource Group PO Box 202056 Dallas TX 75320 Medical Staffing 403305 4 2468073 2035000 2468073 Net pt. svc rev - Inpat 621990 5431361 5431361 Net pt. svc rev - Outpat 621400 866249 866249 Net pt. svc rev - Resid 623990 4142292 4142292 Supp. Hospital Pmt Inc 900099 3378619 3378619 13818521 21007 21007 0 0 0 25476 -25476 -25476 -25476 0 0 0 Other Revenue 900099 30613 30613 30613 16312738 13823658 21007 X 0 0 0 0 428748 189563 239185 0 7357746 6727899 629847 159968 138892 21076 697660 627605 70055 591485 537230 54255 122109 13313 108796 23242 23242 27000 27000 0 0 489 489 2313418 2181092 132326 30722 29592 1130 11903 10720 1183 0 0 279168 254751 24417 0 18115 17252 863 28360 1658 26702 2897 2897 0 500892 455311 45581 163751 133997 29754 Bad Debts 2465897 2465897 Supplies 382395 347777 34618 Equipment Rental 90710 83655 7055 Dues and Licenses 40505 5663 34842 15564 181 15383 15752744 14222048 1530696 0 3662508 5075866 3500000 2250000 35000 6500 3266965 1762492 0 0 0 77378 40478 228247 232261 8946069 4305097 4226950 4640972 0 0 0 0 521597 1803491 15518645 15812060 1239016 972437 1239016 972437 X 14241629 13822327 38000 1017296 14279629 14839623 15518645 15812060 559994 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3627508 2394570 1232938 3719113 1910527 1808586 1599448 1599448 4640972 Unconditional Promise to Give 1803491 1803491 X 16969006 630792 630792 16338214 -25476 -25476 16312738 16409012 630792 630792 15778220 -25476 -25476 15752744 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, 2016.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 217718 217718 0.01640 7828870 5465378 2363492 0.17790 1491999 1477961 14038 0.00110 9538587 6943339 2595248 0.19540 9538587 6943339 2595248 0.19540 61881 36770 25111 0.00190 61881 36770 25111 0.00190 true 2465897 1477961 1130940 347021 X true true 4 1 Adult Hospital 1619 East 13th Street Tulsa OK 74120 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.parksideinc.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://www.parksideinc.org/resources/faq X X X X X X true X false X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community 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. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance 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 $2,465,897 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 12/31/2016. 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 - 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 - 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 - 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 - 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 HealthWrap-around Tulsa Referral TeamOologah 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:CREOKS Behavioral Health Tulsa Advisory Board (staff member serves on board)Sherwin Miller Museum of Jewish Art (staff members serves on board)Oklahoma Student Nurse Association Career Fair (Jan 2016)Oklahoma Counseling Association Mid-Winter Conference (Feb 2016)Phillips 66 Employee Health Fair (Feb 2016)Northeastern Oklahoma State University Health Fair (Feb 2016)40th National Association of Social Worker's Conference (March 2016)Oklahoma School Psychologist's Conference (March 2016)Oklahoma Drug & Alcohol Professional Counselors Association Conference (April 2016)"Staying Healthy is a Family Affair" Mt. Zion Church Tulsa (April 2016)Oklahoma Suicide Prevention Conference (April 2016)Oklahoma Hospital Association Advocacy Day at the Capitol (April 2016)"Make it Your Business" Health & Wellness Conference (May 2016)Oklahoma Children's Behavioral Health Conference (May 2016)By Your Side 5K Run (May 2016)Okmulgee County Resource Fair (May 2016)Okmulgee County DHS "Back to Basics" Presentation (May 2016)Tulsa Mental Health Fashion Show (May 2016)Tulsa Family Safety Center presentation (June 2016)Trauma, Comorbid Disorders & Recovery: Road to Resilience - Meichenbaum (June 2016)Pet Therapy visit to New Haven Methodist Summer Day Camp (July 2016)OU Tulsa Health Fair (Aug 2016)Cox Tulsa "Back to School Expo" (Aug 2016)Conner State College Resource Fair (Aug 2016)Rogers County "Back to School Bash) (Aug 2016)2016 Oklahoma Turning Point Conference (Aug 2016)Tulsa Housing Authority LaFortune Health Fair (Aug 2016)Washington County Suicide Prevention Summit (Sept 2016)Oklahoma Public Health Association Conference (Sept 2016)Zarrow Mental Health Symposium (Sept 2016)TCC Metro Campus Health & Wellness Fair (Sept 2016)TCC Southeast Campus Health & Wellness Fair (Sept 2016)TCC Northeast Campus Health & Wellness Fair (Oct 2016)TCC West Campus Health & Wellness Fair (Oct 2016)National Depression Screening Day Outreach (Oct 2016)Board and leadership support of World Homeless Action Day through Iron Gate (Oct 2016)Presentation to Sooner Health Access Network staff (Oct 2016)OU School of Community Medicine "Primary Care Learning" Conference (Oct 2016)2016 Oklahoma Psychological Association Convention (Oct 2016)Empowering Oklahoma Women's Conference (October 2016)Presentation to Tulsa County Juvenile Bureau Staff (Nov 2016)2016 Prevention and Recovery Conference (Nov 2016)Rogers State University Mental Wellness Day (Nov 2016)Legislative Breakfast with Children's Consortium of Tulsa (Dec 2016)In 2016, community professional education offerings totaling 24 class hours included: Borderline Personality Disorder: Diagnosis, Etiology and Treatment - Dean Montgomery, Ph.D.Calming the Waters: Helping Clients With Trauma Through Mindfulness & Self Regulation Techniques - Missy Iski, LPC Normal vs. Inappropriate Sexual Behavior and Responses - Steve Grissom, Ph.D.Detoxifications from Alcohol & Drugs - New Insights - William Yarborough MD, FACP, FASAMWhy Do I Hurt Me? Perspective on the Treatment of Self Injury - Julie Dupell, Ph.DTrauma, Comorbid Disorders and Recovery: Road to Resilience - Donald Meichenbaum, Ph.D.Working with Difficult Clients - Bart Trentham, Ph.D. and Paul Cooper, Ph.DApplications of Nonverbal Therapy - Linda Darrah Reynolds, MA, ATR, LMFTRemove the Desire; Remove the Addiction? - Ann Taylor, Ph.D.Ethical Decision Making in Everyday Practice - Lisa Cromer, Ph.D. & Joanne Davis, Ph.D. Antipsychotics: The Psychopharmacology Renaissance - Andrew Hayes, PharmDOutreach 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 rotationsOU School of Medicine Residents gain experience with adolescents at Parkside X false false false false false false false false false false Debra E Jones CEO 267629 24000 585 292214 Virginia Heller Psych/Med Dir 365475 24000 792 390267 X Grant 1 35000 FMV X Pledge 1 1000000 NPV of Pledge X Pledge 1 1000000 NPV of Pledge false false false 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