2015-12-09T14:23:00-06:00 2015-06-30 351178661 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2014-07-01 351135451 PARK CENTER INC PARK 2604812719 909 EAST STATE BLVD FORT WAYNE IN 46805 PAUL WILSON CEO 2604812719 2015-12-09 1 AMBER KOCHER CPA P01286298 3176334705 2014 2016-03-07 17:11:31Z PAUL WILSON 909 EAST STATE BLVD FORT WAYNE IN 46805 24911009 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, 2015, THE CENTER PROVIDED UNCOMPENSATED CARE OF APPROXIMATELY $5.01 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. 14 13 565 0 -4905 -4905 10689731 11527728 11343958 13286724 8551 4131 0 91155 22042240 24909738 0 0 0 0 18093948 19900957 0 0 0 6434915 7661801 24528863 27562758 -2486623 -2653020 15902835 15091312 3742304 5665066 12160531 9426246 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 6137723 3663756 OUTPATIENT PSYCHIATRIC AND ADDICTION SERVICES ARE PROVIDED BY PARK CENTER IN SEVERAL DIFFERENT LOCATIONS. THESE SERVICES INVOLVE COUNSELING, CASE MANAGEMENT AND MEDICATION SUPPORT. 4102845 2449088 INPATIENT PSYCHIATRIC HOSPITAL 3634790 2169695 CASEMANAGEMENT, VOCATIONAL, PARTIAL HOSPITALIZATION, AND APPLE SPICE JUNCTION (AFFIRMATIVE BUSINESS) 8407795 5018815 8407795 5018815 22283153 1 1 0 1 0 0 0 0 0 0 1 0 0 1 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 32 0 1 565 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 IN X CLYDE NIX CFO 2604812719 909 EAST STATE BLVD FORT WAYNE IN 46805 CAROLYN BRODY CHAIRPERSON 1.00 X X 0 0 0 J PHYLLIP TYNDALL MD VICE CHAIRPERSON 1.00 X X 0 0 0 TERESA HATTEN SECRETARY 1.00 X X 0 0 0 MARK BLESSING BOARD MEMBER 1.00 X 0 0 0 BILL BROWN BOARD MEMBER 1.00 X 0 0 0 LANNI CONNELLY BOARD MEMBER 1.00 X 0 0 0 RIKKI GOLDSTEIN BOARD MEMBER 1.00 X 0 0 0 LARRY LAMBERSTON MD BOARD MEMBER 41.00 X 280089 0 35839 JODI LEAS BOARD MEMBER 1.00 X 0 0 0 JAN NES BOARD MEMBER 1.00 X 0 0 0 BRADLEY NUSSBAUM BOARD MEMBER 1.00 X 0 0 0 WYLIE SIRK BOARD MEMBER 1.00 X 0 0 0 VICTOR TORRES BOARD MEMBER 1.00 X 0 0 0 RENETTA WILLIAMS BS MSM BOARD MEMBER 1.00 X 0 0 0 PAUL WILSON MSSW MHA PRESIDENT & CEO 40.00 X 106163 0 29280 CLYDE A NIX CFO 40.00 X 85340 0 26712 SYED MUMTAZ MD ASSOC. MEDICAL DIRECTOR 34.00 X 260617 0 41949 AJAZ IQBAL MD ASSOC. MEDICAL DIRECTOR 40.00 X 215878 0 31981 RONALD PANCNER PSYCHIATRIST 27.00 X 186045 0 1570 DON MARSHALL MD ASSOC. MEDICAL DIRECTOR 23.00 X 142124 0 26447 1276256 0 193778 7 0 1 0 PARKVIEW MEMORIAL HOSPITAL 10501 CORPORATE DRIVE FORT WAYNE IN 46845 INPATIENT BED CONTRACT SVC 1346323 LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 303845547 LOCUMTENENS DOCTORS ON CONTRACT 241068 CROSSROADS 2525 LAKE AVENUE FORT WAYNE IN 46805 CONTRACT FOR TREATMENT SERVICES 221290 EXECUTIVE MANAGEMENT PO BOX 501818 INDIANAPOLIS IN 462506818 HOUSEKEEPING CLEANING CONTRACT 180429 SPECIALIZED ALTERNATIVES FOR FAMILIES AN 10100 ELIDA RD DELPHOS OH 45833 BEHAVIOR COUNSELING FOR FOSTER CARE PLAC 158333 9 11461622 66106 11527728 NET PATIENT SERVICE REVENUE 621300 12955994 12955994 APPLE SPICE 722320 330730 330730 13286724 5000 5000 14630 0 14630 14630 14630 402 0 1271 402 -1271 -869 -869 PHT, LLC INCOME 541511 -4905 -4905 81430 81430 76525 24909738 13301354 -4905 85561 X 479793 403506 76287 14840466 12480832 2359634 492513 414203 78310 2954020 2484331 469689 1134165 953888 180277 42309 33847 8462 39850 31880 7970 3291991 2649613 642378 65897 52718 13179 1408488 1109371 299117 218925 175140 43785 836317 669054 167263 230758 215545 15213 151344 44928 106416 27886 19520 8366 838366 544777 293589 509670 509670 27562758 22283153 5279605 0 1333818 1961805 3983080 786681 635954 424348 1345980 3099925 68751 72380 223755 242087 20582735 13998967 6996410 6583768 175074 186647 154068 169996 985945 1563675 15902835 15091312 1806342 2254553 1530000 2816326 43979 0 361983 594187 3742304 5665066 X 12160531 9426246 12160531 9426246 15902835 15091312 X -2653020 11969 -93234 X X 0 1 X 1 1 1 X 10635193 10555858 12706979 10689731 11527728 56115489 11780559 10239090 10361596 11343958 13286724 57011927 22415752 20794948 23068575 22033689 24814452 113127416 0 0 0 113127416 40518 24712 47819 41851 19630 174530 40518 24712 47819 41851 19630 174530 168494 290390 399145 84790 76525 1019344 22624764 21110050 23515539 22160330 24910607 114321290 0.98960 0.98640 0.00150 0.00190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2367 2367 0 PART II-B, LINE 1: PORTION OF TRADE ORGANIZATION ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS. 236964 236964 14661110 9120456 5540654 376564 366136 10428 5109653 4512375 597278 198444 198444 6583768 OTHER ASSETS 195385 OTHER RECEIVABLES 1202814 PAYEE FUNDS 165476 1563675 THIRD PARTY PAYABLE 368450 DERIVATIVE LIABILITY 60261 PAYEE FUNDS 165476 594187 X 24828473 11969 -93234 -81265 24909738 0 24909738 27562758 0 27562758 0 27562758 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, 2015 AND 2014, 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: LOSS ON BOND DEFEASANCE -32,973. UNREALIZED LOSS ON DERIVATIVE -60,261. X X 0 0 0 0 0 0 0 0 0 LARRY LAMBERSTON MD BOARD MEMBER 277008 0 0 0 3081 0 12000 0 23839 0 315928 0 0 0 SYED MUMTAZ MD ASSOC. MEDICAL DIRECTOR 259085 0 0 0 1532 0 17500 0 24449 0 302566 0 0 0 AJAZ IQBAL MD ASSOC. MEDICAL DIRECTOR 214957 0 0 0 921 0 10748 0 21233 0 247859 0 0 0 RONALD PANCNER PSYCHIATRIST 186045 0 0 0 0 0 1570 0 0 0 187615 0 0 0 DON MARSHALL MD ASSOC. MEDICAL DIRECTOR 140936 0 0 0 1188 0 15503 0 10944 0 168571 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 CONSTRUCTION 0 0 0 A 3415000 34715 1995654 1385171 2015 1 0 0 1 A 0 1 1 1 0 1 0 1 A 1 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION UPDATED ITS BYLAWS TO ALLOW FOR TWO MEMBERS OF THE MEDICAL STAFF TO BE ELIGIBLE FOR BOARD OF DIRECTOR MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11 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 IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,649,613. MANAGEMENT AND GENERAL EXPENSES 642,378. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,291,991. FORM 990, PART XI, LINE 9: LOSS ON BOND DEFEASANCE -32,973. UNREALIZED LOSS ON DERIVATIVE -60,261. 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.