2020-04-09T12:04:51-05:00 2019-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2018-07-01 351070041 OAKLAWN PSYCHIATRIC CENTER INC OAKL 5745331234 330 LAKEVIEW DR GOSHEN IN 46527 LAURIE N NAFZIGER PRESIDENT AND CEO 5745331234 2020-04-09 1 MARGOT BURKE P01588992 3176334705 2020-04-09 47.227.233.166 2020-04-09 11:33:23 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 CF253C16AA79457DBB141110F0942FA5491417DB 2018 2020-09-22 18:59:49Z LAURIE N NAFZIGER 330 LAKEVIEW DR GOSHEN IN 46527 58422884 0 X WWW.OAKLAWN.ORG X 1959 IN TREATING THE WHOLE PERSON - MIND, BODY AND SPIRIT - IN ELKHART AND ST. JOSEPH COUNTIES, INDIANA. 16 15 1195 52 0 0 12295014 12442830 42889657 44494984 441500 534938 931533 912676 56557704 58385428 101177 108817 0 0 40941046 43252782 0 0 48282 12561800 13344738 53604023 56706337 2953681 1679091 43417404 44907058 16377236 16510868 27040168 28396190 WITH UNCOMMON EXPERTISE IN MENTAL HEALTH AND ADDICTIONS SERVICES, OAKLAWN JOINS WITH INDIVIDUALS, FAMILIES, AND OUR COMMUNITY ON THE JOURNEY TOWARD HEALTH AND WHOLENESS. 0 0 27023427 25746143 OUTPATIENT SERVICES - PROVIDED OVER 142,271 CLIENT SERVICE ENCOUNTERS OF GROUP THERAPY, MEDICATION MANAGEMENT, AND INDIVIDUAL THERAPY; PROVIDED 74,684 CLIENT SERVICE ENCOUNTERS OF CARE COORDINATION; PROVIDED 78,988 CLIENT SERVICE ENCOUNTERS OF SKILLS BUILDING IN PERSONAL CARE AND COMMUNITY LIVING; AND PROVIDED AN ADDITIONAL 32,597 ENCOUNTERS OF OTHER COMMUNITY-BASED SERVICES. IN SUMMARY, A TOTAL OF 21,500 CONSUMERS WERE SERVED IN THE FISCAL YEAR. 17298011 108817 16301350 RESIDENTIAL SERVICES - IN ADDITION TO THE BEHAVIORAL HEALTH SERVICES FOR THIS POPULATION, THE ORGANIZATION PROVIDED 32,015 DAYS OF CHILD & ADOLESCENT RESIDENTIAL CARE AND 4,217 DAYS OF THERAPEUTIC FOSTER CARE. ADDITIONALLY, ADULTS LIVING IN SUPERVISED GROUP LIVING ARRANGEMENTS ARE PROVIDED RESIDENTIAL SUPPORT SERVICES ALONG WITH THE NECESSARY PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES. A TOTAL OF 40,377 DAYS WERE PROVIDED TO THIS SEGMENT OF THE ADULT POPULATION. 3317202 3360167 INPATIENT SERVICES - PROVIDED 4,794 INPATIENT DAYS OF PSYCHIATRIC AND SUBSTANCE ABUSE STABILIZATION. 47638640 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 67 0 1 1195 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X JOSEPH BARKMAN 5745331234 330 LAKEVIEW DR GOSHEN IN 46528 AUDRA MARK BOARD CHAIR 0.50 0.00 X X 0 0 0 ROBERT SHREINER VICE CHAIR 0.30 0.00 X X 0 0 0 CHRIS KARAM BOARD TREASURER 0.30 0.00 X X 0 0 0 MIKE YODER BOARD SECRETARY DEC'18-JUN'19 0.30 0.00 X X 0 0 0 MARION FULCE BOARD ASSISTANT SECRETARY 0.30 0.00 X X 0 0 0 ADRIANA GARCIA BONTREGER BOARD MEMBER-TERM BEGAN JAN'19 0.30 0.00 X 0 0 0 JANILYN BROUWNER DAUB BOARD MEMBER 0.30 0.00 X 0 0 0 RANDALL CAMMENGA MD BOARD MEMBER 0.30 0.00 X 0 0 0 JAY CAPONIGRO BOARD MEMBER 0.30 0.00 X 0 0 0 ESLEEN FULTZ BOARD MEMBER 0.30 0.00 X 0 0 0 TRISH HANKILA BOARD MEMBER 0.30 0.00 X 0 0 0 KEN HOCHSTETLER BOARD MEMBER 0.30 0.00 X 0 0 0 SARAH PATURAISKI BOARD MEMBER-TERM BEGAN JAN'19 0.30 0.00 X 0 0 0 DARRYL RIEGSECKER BOARD MEMBER 0.30 0.00 X 0 0 0 KIMBERLY GREEN REEVES BOARD MEMBER-TERM BEGAN JAN'19 0.30 0.00 X 0 0 0 JEFF SIEGEL BOARD MEMBER-TERM BEGAN JAN'19 0.30 0.00 X 0 0 0 TERRI BURKS BOARD MEMBER JUL-DEC '18 0.30 0.00 X 0 0 0 BRADLEY ROGERS BOARD MEMBER JUL-DEC '18 0.30 0.00 X 0 0 0 PHIL WIENS BOARD TREASURER JUL-DEC '18 0.30 0.00 X X 0 0 0 KAY EVANS BALL BOARD SECRETARY JUL-DEC '18 0.30 0.00 X X 0 0 0 LAURIE NAFZIGER PRESIDENT/CEO 40.00 1.00 X 275628 0 46538 JOSEPH BARKMAN CFO-TERM ENDED SEP'18 40.00 1.00 X 107064 0 25424 SUSAN HENRY CFO-TERM BEGAN NOV'18 40.00 1.00 X 21051 0 3061 GREGG NUSSBAUM VICE PRESIDENT 40.00 0.00 X 96643 0 23859 DANIEL KINSEY MD MEDICAL DIRECTOR 40.00 0.00 X 288393 0 60292 MICHAEL PLATT MD PSYCHIATRIST 40.00 0.00 X 243231 0 49480 DAVID TAYLOR MD PSYCHIATRIST 40.00 0.00 X 229733 0 49108 DOUGLAS JARVIS MD PSYCHIATRIST 40.00 0.00 X 237936 0 43531 TIMOTHY MCFADDEN MD PSYCHIATRIST 40.00 0.00 X 221830 0 47847 1721509 0 349140 24 0 1 0 MAPLETRONICS COMPUTER INC 2116 WEST WILDEN AVENUE PO BOX 136 GOSHEN IN 46527 IT SERVICES 1016155 QUALIFACTS SYSTEMS INC PO BOX 4577 CAROL STREAM IL 601974577 EHR SERVICES 516594 INDIANA FAMILY & SOCIAL SERVICES ADMINIS PO BOX 621007 INDIANAPOLIS IN 462621007 EHR SERVICES 326188 INDIANA UNIVERSITY PO BOX 78000 DETROIT MI 48278 PROGRAM EVALUATION SERVICES 177815 ENTERPRISE FLEET MANAGEMENT PO BOX 800089 KANSAS CITY MO 64180 FLEET MANAGEMENT SERVICES 171582 12 386319 11908461 148050 12442830 NET PATIENT SERVICE REVENUE 900099 40753457 40753457 GOVERNMENT FUNDING 900099 3312059 3312059 OUTPATIENT CLINIC SERVICES 900099 429468 429468 44494984 503113 503113 332309 0 332309 332309 332309 69281 37456 31825 31825 31825 MEANINGFUL USE REVENUE 900099 128000 128000 452367 452367 580367 58385428 45407660 0 534938 108817 108817 599268 599268 34860182 31254125 3606057 424540 376946 47594 4887805 4339843 547962 2480987 2202849 278138 34140 20289 13851 3962637 2354940 1606662 1035 71740 46966 24774 1552652 1202941 311875 37836 1429802 705899 716089 7814 606853 397287 209566 548879 359333 189546 396955 356069 39765 1121 1028701 919433 108792 476 723436 473610 249826 HOSPITAL ASSESSMENT FEE 1628953 1628953 FOOD SUPPLIES 656576 429839 226737 MEDICATION SUPPLIES 225445 147591 77854 PATIENT CARE SUPPLIES 136767 89537 47230 341202 223373 117829 56706337 47638640 9019415 48282 5747 5530 8314665 9254594 4455665 4474432 3037357 3121005 619256 587057 32567281 21139647 11742318 11427634 14305023 15110832 937373 925974 43417404 44907058 3860256 4299668 11075 6625 912421 883230 8519550 8048272 1494726 1153364 1579208 2119709 16377236 16510868 X 27040168 28396190 27040168 28396190 43417404 44907058 X 1679091 210944 -534013 X X 0 1 X 1 1 1 X 7595571 9523049 8442239 8820286 8765600 43146745 41331074 42604909 41006062 43488985 45075351 213506381 3179772 3223173 3358111 3474728 3677230 16913014 52106417 55351131 52806412 55783999 57518181 273566140 0 1670852 1613525 1746278 2402465 2113748 9546868 1670852 1613525 1746278 2402465 2113748 9546868 264019272 438063 511473 717361 768899 835422 3271218 438063 511473 717361 768899 835422 3271218 1788 1227 104 76 3195 52546268 55863831 53523877 56552974 58353603 276840553 0.95370 0.95620 0.01180 0.01030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER OPERATING REVENUE - 2014 AMOUNT: $ 1,788. 2015 AMOUNT: $ 1,227. 2016 AMOUNT: $ 104. 2017 AMOUNT: $ 76. 2018 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3461 3461 0 PART II-B, LINE 1: A PORTION OF MEMBERSHIP DUES PAID TO INDIANA COUNCIL OF COMMUNITY MENTAL HEALTH CENTERS (ICCMHC) AND INDIANA ASSOCIATION OF RESIDENTIAL CHILD CARE AGENCIES (IARCCA) WERE ATTRIBUTED TO LOBBYING EXPENSES. 855638 855638 19646932 11107974 8538958 12063914 10031673 2032241 797 797 11427634 FIXED INCOME BONDS 15110832 F 15110832 CLIENT HELD FUNDS 143453 ESTIMATED THIRD-PARTY PAYOR SETTLEM 1531368 OTHER CURRENT LIABILITIES 6625 BOND INTEREST SWAP 438263 2119709 X PART X, LINE 2: FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 SUPERSEDED BY FASB CODIFICATION ASC 740: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY OPC AND AFFILIATES AND RECOGNIZE A TAX LIABILITY IF OPC AND AFFILIATES HAVE 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 OPC AND AFFILIATES, AND HAS CONCLUDED THAT AS OF JUNE 30, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. OPC AND AFFILIATES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 ASSISTANCE TO INDIVIDUALS AND FAMILIES FOR VARIOUS NEEDS THROUGH RESIDENT 323 108817 PART I, LINE 2: 1. THE CONTROLLER AND ACCOUNTING MANAGER MONITOR ALL GRANT ACTIVITIES AND FOLLOW UP ON ANY ISSUES. 2. ALL DISBURSEMENTS ARE APPROVED BY THE CONTROLLER OR ACCOUNTING MANAGER THROUGH OUR NORMAL INTERNAL CONTROL SYSTEM FOR DISBURSEMENTS. 3. ALL BILLINGS ARE REVIEWED AND APPROVED BY THE CONTROLLER OR ACCOUNTING MANAGER. 4. ALL RECEIPTS FOR GRANTS ARE REVIEWED BY THE CONTROLLER OR ACCOUNTING MANAGER AND RECEIVED BY OPC THROUGH OUR NORMAL INTERNAL CONTROL SYSTEM FOR RECEIPTS. 5. THE CONTROLLER AND ACCOUNTING MANAGER ALSO PREPARE FOR AND COORDINATE ALL AUDITS FOR ANY GRANT PROGRAM - FEDERAL, STATE, LOCAL OR OUR CPA FIRM. X X X X 0 0 0 0 0 0 0 0 0 LAURIE NAFZIGER PRESIDENT/CEO 257275 0 0 0 18353 0 4431 0 42107 0 322166 0 0 0 DANIEL KINSEY MD MEDICAL DIRECTOR 236814 0 51349 0 230 0 6652 0 53640 0 348685 0 0 0 MICHAEL PLATT MD PSYCHIATRIST 204730 0 38389 0 112 0 6200 0 43280 0 292711 0 0 0 DAVID TAYLOR MD PSYCHIATRIST 203471 0 26262 0 0 0 6349 0 42759 0 278841 0 0 0 DOUGLAS JARVIS MD PSYCHIATRIST 213679 0 24257 0 0 0 6475 0 37056 0 281467 0 0 0 TIMOTHY MCFADDEN MD PSYCHIATRIST 205718 0 16112 0 0 0 6412 0 41435 0 269677 0 0 0 A HOSPITAL AUTHORITY OF ELKHART COUNTY INDIANA 351657690 2018-08-31 8495000 SEE PART VI 0 0 0 A 8495000 8495000 2018 1 0 1 1 A 0 1 1 1 0 0 0 1 A 0 1 0 0 1 1 FIFTH THIRD BANK 10.000000000000 0 0 0 0 1 A 1 PART I, BOND ISSUE, ROW A, COLUMN F DESCRIPTION OF PURPOSE: THE ISSUE WAS TO REFINANCE PREVIOUSLY ISSUED "ADJUSTABLE RATE DEMAND REVENUE REFUNDING AND IMPROVEMENT BONDS, SERIES 2013". EVERENCE SEE PART V BELOW 7167150 SEE PART V 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: EVERENCE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THE PRESIDENT OF EVERENCE, KEN HOCHSTETLER, SERVED AS A BOARD MEMBER FOR OAKLAWN PSYCHIATRIC CENTER, INC. (C) AMOUNT OF TRANSACTION: $7,167,150(D) DESCRIPTION OF TRANSACTION: EVERENCE ADMINISTERS THE EMPLOYEE HEALTH INSURANCE PLAN FOR OAKLAWN PSYCHIATRIC CENTER, INC. AND IS THE INVESTMENT ADVISOR FOR ITS 403B RETIREMENT PLAN. TRANSACTION AMOUNT IS FOR INSURANCE PREMIUMS PAID. FORM 990, PART I, LINE 6, VOLUNTEERS: IN ADDITION TO ALL VOLUNTEER BOARD OF DIRECTORS, THE ORGANIZATION IS SUPPORTED BY MORE THAN 52 ACTIVE VOLUNTEERS WHO SERVE IN A VARIETY OF SUPPORT SERVICES. DURING THE FISCAL YEAR OVER 3,200 HOURS OF SERVICE WERE GIVEN BY THESE VOLUNTEERS. FORM 990, PART VI, SECTION A, LINE 1 DELEGATED AUTHORITY: PER THE BYLAWS, THE EXECUTIVE COMMITTEE OF THE BOARD IS AUTHORIZED TO ACT ON THE FULL BOARD'S BEHALF. THE FULL BOARD MEETS QUARTERLY AND THE EXECUTIVE COMMITTEE GENERALLY MEETS AN ADDITIONAL FOUR TIMES ON ALTERNATE MONTHS. FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING CHANGES WERE MADE TO THE ORGANIZATION'S ORGANIZATIONAL DOCUMENTS DURING THE FISCAL YEAR: 1) THE NUMBER OF DIRECTORS SHALL CONSIST OF NOT LESS THAN FIFTEEN MEMBERS AND NOT MORE THAN EIGHTEEN. 2) THE PORTION OF OAKLAWN PSYCHIATRIC CENTER'S BOARD OF DIRECTORS APPOINTED BY MENNONITE HEALTH SERVICES DECREASED FROM 100% TO 49%. ONE POSITION IS DETERMINED BY THE ELKHART COUNTY BOARD OF COMMISSIONERS. THE REMAINDER OF THE DIRECTORS IS SELECTED BY OAKLAWN PSYCHIATRIC CENTER'S BOARD. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS: 49% OF VOTING MEMBERS ARE SELECTED BY THE SPONSORING ORGANIZATION, MENNONITE HEALTH SERVICES ALLIANCE, AS PROVIDED IN THE BY-LAWS AND ARTICLES OF INCORPORATION OF OAKLAWN PSYCHIATRIC CENTER, INC. ONE POSITION IS SELECTED BY THE ELKHART COUNTY BOARD OF COMMISSIONERS. THE REMAINDER OF THE BOARD OF DIRECTORS IS SELECTED BY OAKLAWN PSYCHIATRIC CENTER, INC. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW BY THE ORGANIZATION'S SENIOR MANAGEMENT AND CHIEF EXECUTIVE OFFICER. THE GOVERNING BODY RECEIVES A COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST COMPLIANCE: THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. OAKLAWN STAFF, BOARD MEMBERS, VOLUNTEERS AND AGENTS SHALL EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS TOUCHING UPON THEIR DUTY TO OAKLAWN AND ITS PROPERTY, AND SHALL FULLY DISCLOSE ANY CONFLICT OF INTEREST. ANNUALLY, BOARD MEMBERS SIGN THAT THEY WILL ABIDE BY THE POLICY AND DECLARE ANY CONFLICT OF INTEREST THEY MAY HAVE WITH THE ORGANIZATION OR ITS RELATED ORGANIZATIONS, AND ABSTAIN FROM ANY VOTING WHERE A CONFLICT COULD EXIST. FORM 990, PART VI, SECTION B, LINE 15 PROCESS OF DETERMINING COMPENSATION: TOP OFFICIAL: THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION PACKAGE PROVIDED TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. THE COMPENSATION REVIEW INCLUDES A MARKET ANALYSIS STUDY AND A PERFORMANCE REVIEW. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. OTHER OFFICERS: THE ORGANIZATION ANNUALLY PARTICIPATES IN SEVERAL MARKET SURVEYS. MANAGEMENT COMPARES COMPENSATION LEVELS OF LIKE POSITIONS AND STRIVES TO ADJUST THE ORGANIZATION'S COMPENSATION PACKAGES FOR LIKE POSITIONS TO FALL WITHIN THE RANGE OF THE MARKET WITH A GOAL TO BE COMPETITIVELY PLACED BETWEEN THE 50TH AND 75TH PERCENTILE OF THE MARKET RANGE. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE TO THE PUBLIC: COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED FOR REVIEW UPON REQUEST. IN ADDITION, THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSION; MEETING THE REQUIREMENTS FOR THE BEHAVIORAL HEALTH CARE ACCREDITATION PROCESS. ALSO, THE ORGANIZATION IS CERTIFIED BY THE STATE OF INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION, DIVISION OF MENTAL HEALTH AND ADDICTIONS, AS AN INDIANA COMMUNITY MENTAL HEALTH CENTER (CMHC). ACCORDINGLY, GOVERNING DOCUMENTS ARE REVIEWED AND REGULARLY PROVIDED TO THESE AND OTHER PUBLIC BODIES. FORM 990, PART XI, LINE 9: CHANGE IN DERIVATIVE -423,563. LOSS ON BOND DEFEASANCE -110,450. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. MENNONITE HEALTH SERVICES 1112 N MAIN STREET GOSHEN IN 46528 231421919 HEALTH AND HUMAN SERVICE MINISTRIES IN 501(C)(3) LINE 11 N/A 0 OAKLAWN FOUNDATION FOR MENTAL HEALTH PO BOX 809 GOSHEN IN 46527 356060037 FUNDRAISING/MENTAL HEALTH PROMOTION IN 501(C)(3) LINE 7 OPC 1 OAKLAWN CMHC 330 LAKEVIEW DR PO BOX 809 GOSHEN IN 46527 237317957 HEALTHCARE IN 501(C)(3) LINE 7 OPC 1 SIMADON CORPORATION PO BOX 809 GOSHEN IN 46527 208473080 HUD HOUSING IN 501(C)(3) LINE 7 OPC 1 MADISON RESIDENTIAL SERVICES INC PO BOX 809 GOSHEN IN 46527 311135587 HUD HOUSING IN 501(C)(3) LINE 7 OPC 1 RIVERSIDE CORPORATION PO BOX 809 GOSHEN IN 46527 351875879 HUD HOUSING IN 501(C)(3) LINE 7 OPC 1 OAKLAWN ESTATES APARTMENTS INC PO BOX 809 GOSHEN IN 46527 383646840 HUD HOUSING IN 501(C)(3) LINE 7 OPC 1 OAKLAWN APARTMENTS INC PO BOX 809 GOSHEN IN 46527 311009857 HUD HOUSING IN 501(C)(3) LINE 7 OPC 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 OAKLAWN FOUNDATION FOR MENTAL HEALTH C 386319 FAIR MARKET VALUE