2019-05-13T14:44:31-05:00 2018-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2017-07-01 351135451 PARK CENTER INC PARK 2604812719 909 EAST STATE BLVD FORT WAYNE IN 46805 PAUL WILSON CEO 2604812719 2019-05-13 1 MARGOT BURKE CPA P01588992 3176334705 2019-05-10 165.225.0.63 2019-05-13 14:44:27 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 668E3E4A1B31A83BC20F15E14B7D011B91900C56 2017 2019-02-21 02:37:17Z PAUL WILSON 909 EAST STATE BLVD FORT WAYNE IN 46805 33163841 0 X WWW.PARKCENTER.ORG X 1967 IN 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. 15 14 668 0 -4816 -3499 12350514 11729835 19154279 21164868 -38492 28218 185776 186719 31652077 33109640 0 0 0 0 23521908 23306577 0 0 0 7372695 8754171 30894603 32060748 757474 1048892 15083421 15790493 7107969 6853459 7975452 8937034 X MEETING THE BEHAVIORAL HEALTH NEEDS OF CONSUMERS IS PARK CENTER'S SINGULAR FOCUS. THROUGH RESPONSIVE PROGRAMMING AND CONTINOUS IMPROVEMENT, WE STRIVE TO EXCEED EXPECTATIONS. 0 0 12726318 0 7704627 OUTPATIENT PSYCHIATRIC AND ADDICTION SERVICES ARE PROVIDED BY PARK CENTER IN SEVERAL DIFFERENT LOCATIONS. THESE SERVICES INVOLVE COUNSELING, CASE MANAGEMENT AND MEDICATION SUPPORT. 9089797 11344176 CASE MANAGEMENT, VOCATIONAL, PARTIAL HOSPITALIZATION, AND APPLE SPICE JUNCTION (AFFIRMATIVE BUSINESS) 3338684 2072001 INPATIENT PSYCHIATRIC HOSPITAL 96278 61165 CONSULTATION AND EDUCATION 96278 61165 25251077 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 47 0 1 668 1 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 IN X RHONDA STIENECKER CFO 2604812719 909 EAST STATE BLVD FORT WAYNE IN 46805 CAROLYN BRODY CHAIRPERSON 1.00 0.00 X X 0 0 0 J PHILLIP TYNDALL MD VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 TERESA HATTEN SECRETARY 1.00 0.00 X X 0 0 0 MARK BLESSING BOARD MEMBER 1.00 0.00 X 0 0 0 LANNI CONNELLY BOARD MEMBER 1.00 0.00 X 0 0 0 JAIMIE FERREN BOARD MEMBER-TERM BEGAN FEB '18 1.00 0.00 X 0 0 0 TRAVIS FRIEND BOARD MEMBER 1.00 0.00 X 0 0 0 TIM GALL BOARD MEMBER 1.00 0.00 X 0 0 0 LARRY LAMBERTSON MD BOARD MEMBER/MEDICAL DIREC 41.00 0.00 X 294422 0 55414 JODI LEAS BOARD MEMBER 1.00 0.00 X 0 0 0 BETH LOCK BOARD MEMBER 1.00 0.00 X 0 0 0 JAN NES BOARD MEMBER 1.00 0.00 X 0 0 0 WYLIE SIRK BOARD MEMBER 1.00 0.00 X 0 0 0 ANGELA STEWART-MARTIN BOARD MEMBER 1.00 0.00 X 0 0 0 VICTOR TORRES BOARD MEMBER 1.00 0.00 X 0 0 0 BILL BROWN BOARD MEMBER-TERM ENDED SEP '17 1.00 0.00 X 0 0 0 PAUL WILSON MSSW MHA PRESIDENT & CEO 40.00 0.00 X 121233 0 26567 CLYDE A NIX COO/INTERIM CFO 40.00 0.00 X 135029 0 38883 BRANDY CAMPBELL CFO-TERM ENDED MAR '18 40.00 0.00 X 82171 0 26835 RHONDA STIENECKER CFO-TERM BEGAN JUN '18 40.00 0.00 X 0 0 0 SYED MUMTAZ MD ASSOC. MEDICAL DIRECTOR 34.00 0.00 X 260961 0 60889 DORIS WILLIAMS MD ASSOC. MEDICAL DIRECTOR 40.00 0.00 X 209326 0 25672 RONALD PANCNER PSYCHIATRIST 23.00 0.00 X 190850 0 0 JAY PATEL MD PSYCHIATRIST 17.00 0.00 X 148397 0 29171 RUBEN SINGH MD PSYCHIATRIST 29.00 0.00 X 109686 0 14840 1552075 0 278271 8 0 1 0 CROSSROADS 2525 LAKE AVENUE FORT WAYNE IN 46805 CONTRACT FOR TREATMENT SERVICES 303387 PARKVIEW MEMORIAL HOSPITAL 10501 CORPORATE DRIVE FORT WAYNE IN 46845 INPATIENT BED CONTRACT SVC 276199 CLAIMAID 8141 ZIONVILLE RD INDIANAPOLIS IN 46268 MEDICAID ENROLLMENT SERVICES 211182 UNITED AMERICAN SECURITY LLC PO BOX 829620 PHILADELPHIA PA 19182 SECURITY SERVICES 208275 EXECUTIVE MANAGEMENT PO BOX 501818 INDIANAPOLIS IN 462506818 HOUSEKEEPING CLEANING CONTRACT 167826 7 11378510 351325 11729835 NET PATIENT SERVICE REVENUE 621300 20705969 20705969 APPLE SPICE SALES 722320 458899 458899 21164868 1891 1891 17101 0 17101 17101 17101 58613 21915 54201 0 4412 21915 26327 26327 DSH FEDERAL FUNDS 900099 62640 62640 PHT, LLC INCOME 541511 -4816 -4816 111794 111794 169618 33109640 21181969 -4816 202652 632855 530336 102519 17139088 14362644 2776444 586006 488276 97730 3741233 3117296 623937 1207395 1006034 201361 147289 96807 50482 51650 33947 17703 2875090 1889679 985411 127529 51358 76171 1782012 1312160 469852 343380 107252 236128 13222 5916 7306 982042 731116 250926 269604 194851 74753 30069 13453 16616 131912 98207 33705 786630 529701 256929 434476 434476 HAF EXPENSE 603142 603142 DUES, LICENCES, FEES 146489 65541 80948 29635 13361 16274 32060748 25251077 6809671 0 2728922 3974839 42828 22367 1504522 1488356 3955760 3869537 32479 110427 95132 62557 129341 309316 21510524 16200735 5853512 5309789 58613 0 167478 173495 514834 469810 15083421 15790493 2193959 2412530 3054000 2826000 191690 184144 975000 700000 693320 730785 7107969 6853459 X 7845041 8937034 130411 0 7975452 8937034 15083421 15790493 X 1048892 -18677 -68633 X X 0 1 X 1 1 1 X 10689731 11527728 11754682 12350514 11729835 58052490 11343958 13286724 16494153 19154279 21164868 81443982 22033689 24814452 28248835 31504793 32894703 139496472 0 0 0 139496472 41851 19630 17049 19726 18992 117248 41851 19630 17049 19726 18992 117248 84790 76927 233609 177782 174434 747542 22160330 24911009 28499493 31702301 33088129 140361262 0.99380 0.99140 0.00080 0.00110 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: 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. 0 0 0 0 0 0 0 0 1 188 188 0 PART II-B, LINE 1: PORTION OF TRADE ORGANIZATION ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS. 0 1 X 130411 130411 130411 130411 1.00000 0 0 213394 213394 15198028 10661203 4536825 379646 378978 668 5591970 5160554 431416 127486 127486 5309789 DERIVATIVE LIABILITY 31487 THIRD PARTY PAYABLE 699298 730785 X 33022330 -18677 -68633 -87310 33109640 0 33109640 32060748 0 32060748 0 32060748 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. X X 0 0 0 0 0 0 0 0 0 LARRY LAMBERTSON MD BOARD MEMBER/MEDICAL DIREC 287823 0 0 0 6599 0 32047 0 23367 0 349836 0 0 0 CLYDE A NIX COO/INTERIM CFO 118992 0 0 0 16037 0 13252 0 25631 0 173912 0 0 0 SYED MUMTAZ MD ASSOC. MEDICAL DIRECTOR 257245 0 0 0 3716 0 30988 0 29901 0 321850 0 0 0 DORIS WILLIAMS MD ASSOC. MEDICAL DIRECTOR 203200 0 0 0 6126 0 14307 0 11365 0 234998 0 0 0 RONALD PANCNER PSYCHIATRIST 190850 0 0 0 0 0 0 0 0 0 190850 0 0 0 JAY PATEL MD PSYCHIATRIST 148397 0 0 0 0 0 29171 0 0 0 177568 0 0 0 PART II, LARRY LAMERSTON, MD: 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. A CITY OF FORT WAYNE 356001029 NONEAVAIL 2015-05-15 3415000 SEE PART IV 0 0 0 A 3415000 34715 1995654 1385171 2015 1 0 0 1 A 0 1 1 1 0 0 0 0 A 1 1 0 0 0 1 A 1 FORM 990, SCH K, PART I, COLUMN (F), PURPOSE OF BOND: SERIES 2015 BOND PROCEEDS WERE USED TO CONSTRUCT AND RENOVATE FACILITIES RELATED TO THE INPATIENT UNIT AND TO RETIRE PREVIOUSLY ISSUED BONDS. 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.