PARK CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PARK CENTER INC (EIN 35-1135451)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-13
- IRS object ID
- 201941339349304299
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-13T14:44:31-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N MERIDIAN ST SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351135451 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | BusinessNameControlTxt |
| Phone | 2604812719 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 909 EAST STATE BLVD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46805 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL WILSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2604812719 | PhoneNum |
| Signature | 2019-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARGOT BURKE CPA | PreparerPersonNm |
| PTIN | P01588992 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2019-05-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 165.225.0.63 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-13 | IPDt |
| IP Tm | 14:44:27 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 668E3E4A1B31A83BC20F15E14B7D011B91900C56 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL WILSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 909 EAST STATE BLVD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $33,163,841 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARKCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | PARK CENTER, INC. IS A COMPREHENSIVE MENTAL HEALTH CENTER LOCATED IN FORT WAYNE, INDIANA. THE CENTER PROVIDES A FULL CONTINUUM OF BEHAVIORAL HEALTHCARE TO THE RESIDENTS OF ADAMS, ALLEN AND WELLS COUNTIES. THE CENTER PROVIDES SERVICES TO ELIGIBLE PATIENTS UNDER REIMBURSEMENT AGREEMENTS WITH MEDICARE, MEDICAID, AND OTHER THIRD PARTY CARRIERS. ADDITIONALLY, THE CENTER ACCEPTS PATIENTS REGARDLESS OF THEIR RACE, AGE, SEX, CREED, OR NATIONAL ORIGIN. IN THE FISCAL YEAR ENDED JUNE 30, 2018, THE CENTER PROVIDED UNCOMPENSATED CARE OF APPROXIMATELY $2.44 MILLION.THE CONTINUUM OF BEHAVIORAL HEALTHCARE INCLUDES: INPATIENT, SUBACUTE, GROUP HOMES, COMMUNITY HOUSING, DAY TREATMENT, OUTPATIENT THERAPY, CASE MANAGEMENT, ACTIVITIES OF DAILY LIVING, PSYCHOLOGICAL TESTING, MEDICAL SERVICES, VOCATIONAL, AND SCREENING. THESE SERVICES ARE PROVIDED TO PERSONS WITH MENTAL ILLNESS AND/OR CHEMICAL DEPENDENCY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 668 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | -$4,816 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$3,499 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,350,514 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,729,835 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,154,279 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,164,868 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$38,492 | PYInvestmentIncomeAmt |
| CY Investment Income | $28,218 | CYInvestmentIncomeAmt |
| PY Other Revenue | $185,776 | PYOtherRevenueAmt |
| CY Other Revenue | $186,719 | CYOtherRevenueAmt |
| PY Total Revenue | $31,652,077 | PYTotalRevenueAmt |
| CY Total Revenue | $33,109,640 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,521,908 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,306,577 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,372,695 | PYOtherExpensesAmt |
| CY Other Expenses | $8,754,171 | CYOtherExpensesAmt |
| PY Total Expenses | $30,894,603 | PYTotalExpensesAmt |
| CY Total Expenses | $32,060,748 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $757,474 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,048,892 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,083,421 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,790,493 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,107,969 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,853,459 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,975,452 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,937,034 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MEETING THE BEHAVIORAL HEALTH NEEDS OF CONSUMERS IS PARK CENTER'S SINGULAR FOCUS. THROUGH RESPONSIVE PROGRAMMING AND CONTINOUS IMPROVEMENT, WE STRIVE TO EXCEED EXPECTATIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,726,318 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,704,627 | RevenueAmt |
| Desc | OUTPATIENT PSYCHIATRIC AND ADDICTION SERVICES ARE PROVIDED BY PARK CENTER IN SEVERAL DIFFERENT LOCATIONS. THESE SERVICES INVOLVE COUNSELING, CASE MANAGEMENT AND MEDICATION SUPPORT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,089,797 | ExpenseAmt |
| Revenue | $11,344,176 | RevenueAmt |
| Desc | CASE MANAGEMENT, VOCATIONAL, PARTIAL HOSPITALIZATION, AND APPLE SPICE JUNCTION (AFFIRMATIVE BUSINESS) | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,338,684 | ExpenseAmt |
| Revenue | $2,072,001 | RevenueAmt |
| Desc | INPATIENT PSYCHIATRIC HOSPITAL | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $96,278 | ExpenseAmt |
| Revenue | $61,165 | RevenueAmt |
| Desc | CONSULTATION AND EDUCATION | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $96,278 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $61,165 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $25,251,077 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 668 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHONDA STIENECKER CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2604812719 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 909 EAST STATE BLVD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46805 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CAROLYN BRODY | ||||||||
| CHAIRPERSON | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| J PHILLIP TYNDALL MD | ||||||||
| VICE CHAIRPERSON | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TERESA HATTEN | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK BLESSING | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LANNI CONNELLY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAIMIE FERREN | ||||||||
| BOARD MEMBER-TERM BEGAN FEB '18 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TRAVIS FRIEND | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIM GALL | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LARRY LAMBERTSON MD | ||||||||
| BOARD MEMBER/MEDICAL DIREC | 41.00 | 0.00 | Yes (X) | $294,422 | $0 | $55,414 | ||
| JODI LEAS | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BETH LOCK | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAN NES | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WYLIE SIRK | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANGELA STEWART-MARTIN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| VICTOR TORRES | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL BROWN | ||||||||
| BOARD MEMBER-TERM ENDED SEP '17 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL WILSON MSSW MHA | ||||||||
| PRESIDENT & CEO | 40.00 | 0.00 | Yes (X) | $121,233 | $0 | $26,567 | ||
| CLYDE A NIX | ||||||||
| COO/INTERIM CFO | 40.00 | 0.00 | Yes (X) | $135,029 | $0 | $38,883 | ||
| BRANDY CAMPBELL | ||||||||
| CFO-TERM ENDED MAR '18 | 40.00 | 0.00 | Yes (X) | $82,171 | $0 | $26,835 | ||
| RHONDA STIENECKER | ||||||||
| CFO-TERM BEGAN JUN '18 | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SYED MUMTAZ MD | ||||||||
| ASSOC. MEDICAL DIRECTOR | 34.00 | 0.00 | $260,961 | $0 | $60,889 | Yes (X) | ||
| DORIS WILLIAMS MD | ||||||||
| ASSOC. MEDICAL DIRECTOR | 40.00 | 0.00 | $209,326 | $0 | $25,672 | Yes (X) | ||
| RONALD PANCNER | ||||||||
| PSYCHIATRIST | 23.00 | 0.00 | $190,850 | $0 | $0 | Yes (X) | ||
| JAY PATEL MD | ||||||||
| PSYCHIATRIST | 17.00 | 0.00 | $148,397 | $0 | $29,171 | Yes (X) | ||
| RUBEN SINGH MD | ||||||||
| PSYCHIATRIST | 29.00 | 0.00 | $109,686 | $0 | $14,840 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,552,075 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $278,271 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROSSROADS | |||||
| 2525 LAKE AVENUE | FORT WAYNE | IN | 46805 | CONTRACT FOR TREATMENT SERVICES | $303,387 |
| PARKVIEW MEMORIAL HOSPITAL | |||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | INPATIENT BED CONTRACT SVC | $276,199 |
| CLAIMAID | |||||
| 8141 ZIONVILLE RD | INDIANAPOLIS | IN | 46268 | MEDICAID ENROLLMENT SERVICES | $211,182 |
| UNITED AMERICAN SECURITY LLC | |||||
| PO BOX 829620 | PHILADELPHIA | PA | 19182 | SECURITY SERVICES | $208,275 |
| EXECUTIVE MANAGEMENT | |||||
| PO BOX 501818 | INDIANAPOLIS | IN | 462506818 | HOUSEKEEPING CLEANING CONTRACT | $167,826 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $11,378,510 | GovernmentGrantsAmt |
| All Other Contributions | $351,325 | AllOtherContributionsAmt |
| Total Contributions | $11,729,835 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621300 | $20,705,969 | $20,705,969 |
| APPLE SPICE SALES | 722320 | $458,899 | $458,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,164,868 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,891 | TotalRevenueColumnAmt |
| Exclusion | $1,891 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,101 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,101 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,101 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,101 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $58,613 | SecuritiesAmt |
| Other | $21,915 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $54,201 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,412 | SecuritiesAmt |
| Other | $21,915 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,327 | TotalRevenueColumnAmt |
| Exclusion | $26,327 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| DSH FEDERAL FUNDS | 900099 | $62,640 | $62,640 | |
| PHT, LLC INCOME | 541511 | -$4,816 | -$4,816 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,794 | TotalRevenueColumnAmt |
| Exclusion | $111,794 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $169,618 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,109,640 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,181,969 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$4,816 | UnrelatedBusinessRevenueAmt |
| Exclusion | $202,652 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,855 | TotalAmt |
| Program Services | $530,336 | ProgramServicesAmt |
| Management And General | $102,519 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,139,088 | TotalAmt |
| Program Services | $14,362,644 | ProgramServicesAmt |
| Management And General | $2,776,444 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $586,006 | TotalAmt |
| Program Services | $488,276 | ProgramServicesAmt |
| Management And General | $97,730 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,741,233 | TotalAmt |
| Program Services | $3,117,296 | ProgramServicesAmt |
| Management And General | $623,937 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,207,395 | TotalAmt |
| Program Services | $1,006,034 | ProgramServicesAmt |
| Management And General | $201,361 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,289 | TotalAmt |
| Program Services | $96,807 | ProgramServicesAmt |
| Management And General | $50,482 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,650 | TotalAmt |
| Program Services | $33,947 | ProgramServicesAmt |
| Management And General | $17,703 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,875,090 | TotalAmt |
| Program Services | $1,889,679 | ProgramServicesAmt |
| Management And General | $985,411 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,529 | TotalAmt |
| Program Services | $51,358 | ProgramServicesAmt |
| Management And General | $76,171 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,782,012 | TotalAmt |
| Program Services | $1,312,160 | ProgramServicesAmt |
| Management And General | $469,852 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,380 | TotalAmt |
| Program Services | $107,252 | ProgramServicesAmt |
| Management And General | $236,128 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,222 | TotalAmt |
| Program Services | $5,916 | ProgramServicesAmt |
| Management And General | $7,306 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $982,042 | TotalAmt |
| Program Services | $731,116 | ProgramServicesAmt |
| Management And General | $250,926 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,604 | TotalAmt |
| Program Services | $194,851 | ProgramServicesAmt |
| Management And General | $74,753 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,069 | TotalAmt |
| Program Services | $13,453 | ProgramServicesAmt |
| Management And General | $16,616 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,912 | TotalAmt |
| Program Services | $98,207 | ProgramServicesAmt |
| Management And General | $33,705 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $786,630 | TotalAmt |
| Program Services | $529,701 | ProgramServicesAmt |
| Management And General | $256,929 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,476 | TotalAmt |
| Management And General | $434,476 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HAF EXPENSE | $603,142 | $603,142 | |
| DUES, LICENCES, FEES | $146,489 | $65,541 | $80,948 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,635 | TotalAmt |
| Program Services | $13,361 | ProgramServicesAmt |
| Management And General | $16,274 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,060,748 | TotalAmt |
| Program Services | $25,251,077 | ProgramServicesAmt |
| Management And General | $6,809,671 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,728,922 | BOYAmt |
| EOY | $3,974,839 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,828 | BOYAmt |
| EOY | $22,367 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,504,522 | BOYAmt |
| EOY | $1,488,356 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,955,760 | BOYAmt |
| EOY | $3,869,537 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,479 | BOYAmt |
| EOY | $110,427 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,132 | BOYAmt |
| EOY | $62,557 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,341 | BOYAmt |
| EOY | $309,316 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,510,524 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,200,735 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,853,512 | BOYAmt |
| EOY | $5,309,789 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,613 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,478 | BOYAmt |
| EOY | $173,495 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $514,834 | BOYAmt |
| EOY | $469,810 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,083,421 | BOYAmt |
| EOY | $15,790,493 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,193,959 | BOYAmt |
| EOY | $2,412,530 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,054,000 | BOYAmt |
| EOY | $2,826,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,690 | BOYAmt |
| EOY | $184,144 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $975,000 | BOYAmt |
| EOY | $700,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $693,320 | BOYAmt |
| EOY | $730,785 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,107,969 | BOYAmt |
| EOY | $6,853,459 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,845,041 | BOYAmt |
| EOY | $8,937,034 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,411 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,975,452 | BOYAmt |
| EOY | $8,937,034 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,083,421 | BOYAmt |
| EOY | $15,790,493 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,048,892 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$18,677 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$68,633 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,689,731 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,527,728 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,754,682 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,350,514 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,729,835 | CurrentTaxYearAmt |
| Total | $58,052,490 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,343,958 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,286,724 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,494,153 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,154,279 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,164,868 | CurrentTaxYearAmt |
| Total | $81,443,982 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,033,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,814,452 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,248,835 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,504,793 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,894,703 | CurrentTaxYearAmt |
| Total | $139,496,472 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $139,496,472 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,851 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,630 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,049 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,726 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,992 | CurrentTaxYearAmt |
| Total | $117,248 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,851 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,630 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,049 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,726 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,992 | CurrentTaxYearAmt |
| Total | $117,248 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $84,790 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,927 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $233,609 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $177,782 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $174,434 | CurrentTaxYearAmt |
| Total | $747,542 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,160,330 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,911,009 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,499,493 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,702,301 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,088,129 | CurrentTaxYearAmt |
| Total | $140,361,262 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99380 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99140 | PublicSupportPY509Pct |
| Investment Income CY | 0.00080 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00110 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2013 AMOUNT: $ 84,790. 2014 AMOUNT: $ 76,927. 2015 AMOUNT: $ 233,609. 2016 AMOUNT: $ 104,324. 2017 AMOUNT: $ 111,794. DSH FEDERAL FUNDS - 2016 AMOUNT: $ 73,458. 2017 AMOUNT: $ 62,640. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $188 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $188 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF TRADE ORGANIZATION ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $130,411 | BeginningYearBalanceAmt |
| Other Expenditures | $130,411 | OtherExpendituresAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $130,411 | ContributionsAmt |
| End Year Balance | $130,411 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $213,394 | OtherCostOrOtherBasisAmt |
| Book Value | $213,394 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,198,028 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,661,203 | DepreciationAmt |
| Book Value | $4,536,825 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $379,646 | OtherCostOrOtherBasisAmt |
| Depreciation | $378,978 | DepreciationAmt |
| Book Value | $668 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,591,970 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,160,554 | DepreciationAmt |
| Book Value | $431,416 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $127,486 | OtherCostOrOtherBasisAmt |
| Book Value | $127,486 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,309,789 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DERIVATIVE LIABILITY | $31,487 |
| THIRD PARTY PAYABLE | $699,298 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $730,785 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $33,022,330 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$18,677 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$68,633 | OtherRevenueAmt |
| Revenue Not Reported | -$87,310 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,109,640 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,109,640 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,060,748 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $32,060,748 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $32,060,748 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION IS AN AGENT FOR HELD FUNDS FOR PATIENTS' REPRESENTATIVE PAYEE ACCOUNTS. |
| PART V, LINE 4: | TEMPORARILY RESTRICTED NET ASSETS RELATE TO CONTRIBUTIONS TO ASSIST WITH AN INTEGRATED CARE CLINIC. |
| PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER, AND HAS CONCLUDED THAT AS OF JUNE 30, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | UNREALIZED LOSS ON DERIVATIVE 4,800. OTHER CHANGE IN NET ASSETS -73,433. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LARRY LAMBERTSON MD | ||||||||||||||
| BOARD MEMBER/MEDICAL DIREC | $287,823 | $0 | $0 | $0 | $6,599 | $0 | $32,047 | $0 | $23,367 | $0 | $349,836 | $0 | $0 | $0 |
| CLYDE A NIX | ||||||||||||||
| COO/INTERIM CFO | $118,992 | $0 | $0 | $0 | $16,037 | $0 | $13,252 | $0 | $25,631 | $0 | $173,912 | $0 | $0 | $0 |
| SYED MUMTAZ MD | ||||||||||||||
| ASSOC. MEDICAL DIRECTOR | $257,245 | $0 | $0 | $0 | $3,716 | $0 | $30,988 | $0 | $29,901 | $0 | $321,850 | $0 | $0 | $0 |
| DORIS WILLIAMS MD | ||||||||||||||
| ASSOC. MEDICAL DIRECTOR | $203,200 | $0 | $0 | $0 | $6,126 | $0 | $14,307 | $0 | $11,365 | $0 | $234,998 | $0 | $0 | $0 |
| RONALD PANCNER | ||||||||||||||
| PSYCHIATRIST | $190,850 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $190,850 | $0 | $0 | $0 |
| JAY PATEL MD | ||||||||||||||
| PSYCHIATRIST | $148,397 | $0 | $0 | $0 | $0 | $0 | $29,171 | $0 | $0 | $0 | $177,568 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LARRY LAMERSTON, MD: | FormAndLineReferenceDesc |
| Explanation | DR. LAMBERSTON 40 HOURS RELATES TO HIS FULL TIME EMPLOYMENT AS A DOCTOR FOR PARK CENTER. ALSO, HE SERVES AS A BOARD MEMBER FOR PARK CENTER. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF FORT WAYNE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 356001029 | BondIssuerEIN |
| CUSIP | NONEAVAIL | CUSIPNum |
| Bond Issued | 2015-05-15 | BondIssuedDt |
| Issue Price | $3,415,000 | IssuePriceAmt |
| Purpose | SEE PART IV | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $3,415,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $34,715 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $1,995,654 | CapitalExpendituresAmt |
| Other Spent Proceeds | $1,385,171 | OtherSpentProceedsAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCH K, PART I, COLUMN (F), PURPOSE OF BOND: | FormAndLineReferenceDesc |
| Explanation | SERIES 2015 BOND PROCEEDS WERE USED TO CONSTRUCT AND RENOVATE FACILITIES RELATED TO THE INPATIENT UNIT AND TO RETIRE PREVIOUSLY ISSUED BONDS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW BY THE ACCOUNTING DEPARTMENT PERSONNEL. EACH VOTING MEMBER OF THE GOVERNING BODY RECEIVES A COPY OF THE FORM 990 INCLUDING REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD REVIEWS THE CONFLICT OF INTEREST POLICY EACH YEAR AND EACH MEMBER SIGNS A FORM, DOCUMENTING THEIR UNDERSTANDING OF THE POLICY AND HOW IT RELATES TO THEM. STAFF REVIEW AND SIGN THE CODE OF ETHICS EACH YEAR DURING THEIR PERFORMANCE EVALUATION. POTENTIAL CONFLICTS ARE DISCUSSED EITHER WITH THE BOARD OR WITH THE EMPLOYEE'S SUPERVISOR. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S COMPENSATION IS REVIEWED EACH YEAR BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION SURVEYS TO BECOME AWARE OF THE COMPENSATION OF COMPARABLE POSITIONS. FOR THE OTHER KEY EMPLOYEES OF THE ORGANIZATION, SALARY SURVEYS ARE EXAMINED EACH YEAR TO COMPARE COMPENSATION. BOTH THE CEO AND OTHER KEY EMPLOYEES ARE ALL BELOW THE MEDIAN SALARIES IN THOSE SURVEYS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | UNREALIZED LOSS ON DERIVATIVE 4,800. OTHER CHANGE IN NET ASSETS -73,433. |
| FORM 990, PART XI, LINE 2C, AUDIT OVERSIGHT: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. NO PROCESSES HAVE CHANGED SINCE PRIOR YEAR RELATING TO AUDIT OVERSIGHT. |
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