STRATEGY STUDIO / PUBLIC DATA EXPLORER

OAKLAWN PSYCHIATRIC CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
OAKLAWN PSYCHIATRIC CENTER INC (EIN 35-1070041)
Tax period
2016-07-01 to 2017-06-30
Filed
2017-09-29
IRS object ID
201712729349300216
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-09-29T09:50:55-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Blue & Co LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N Meridian St Suite 200AddressLine1Txt
CityIndianapolisCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351070041EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OAKLAWN PSYCHIATRIC CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOAKLBusinessNameControlTxt
Phone5745331234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1330 LAKEVIEW DRAddressLine1Txt
CityGOSHENCityNm
State AbbreviationINStateAbbreviationCd
ZIP46527ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLaurie N NafzigerPersonNm
Person TitlePresident and CEOPersonTitleTxt
Phone5745331234PhoneNum
Signature2017-09-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmber Kocher CPAPreparerPersonNm
PTINP01286298PTIN
Phone3176334705PhoneNum
Preparation2017-09-28PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.90.4.15IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-28IPDt
IP Tm12:54:53IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdB19D0506B86ED19F1A0FD2AFEEB91090E576B51FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLaurie N NafzigerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1330 LAKEVIEW DRAddressLine1Txt
CityGOSHENCityNm
State AbbreviationINStateAbbreviationCd
ZIP46527ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$53,550,768GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.oaklawn.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTREATING THE WHOLE PERSON - MIND, BODY AND SPIRIT - IN ELKHART AND ST. JOSEPH COUNTIES, INDIANA.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee1159TotalEmployeeCnt
Total Volunteers90TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,746,222PYContributionsGrantsAmt
CY Contributions Grants$11,800,350CYContributionsGrantsAmt
PY Program Service Revenue$42,202,847PYProgramServiceRevenueAmt
CY Program Service Revenue$40,408,658CYProgramServiceRevenueAmt
PY Investment Income$209,992PYInvestmentIncomeAmt
CY Investment Income$391,106CYInvestmentIncomeAmt
PY Other Revenue$706,499PYOtherRevenueAmt
CY Other Revenue$933,271CYOtherRevenueAmt
PY Total Revenue$55,865,560PYTotalRevenueAmt
CY Total Revenue$53,533,385CYTotalRevenueAmt
PY Grants And Similar Paid$100,096PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$91,270CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,852,082PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$38,875,380CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$110,012CYTotalFundraisingExpenseAmt
PY Other Expenses$11,603,872PYOtherExpensesAmt
CY Other Expenses$11,596,717CYOtherExpensesAmt
PY Total Expenses$52,556,050PYTotalExpensesAmt
CY Total Expenses$50,563,367CYTotalExpensesAmt
PY Revenues Less Expenses$3,309,510PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,970,018CYRevenuesLessExpensesAmt
Total Assets BOY$41,138,593TotalAssetsBOYAmt
Total Assets EOY$41,536,100TotalAssetsEOYAmt
Total Liabilities BOY$19,536,830TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,129,734TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,601,763NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$24,406,366NetAssetsOrFundBalancesEOYAmt
MissionWITH UNCOMMON EXPERTISE IN MENTAL HEALTH AND ADDICTIONS SERVICES, OAKLAWN JOINS WITH INDIVIDUALS, FAMILIES, AND OUR COMMUNITY ON THE JOURNEY TOWARD HEALTH AND WHOLENESS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,119,298ExpenseAmt
Grant$0GrantAmt
Revenue$27,323,314RevenueAmt
DescOUTPATIENT Services - PROVIDED OVER 111,360 CLIENT SERVICE ENCOUNTERS OF GROUP THERAPY, MEDICATION MANAGEMENT, AND INDIVIDUAL THERAPY; PROVIDED 80,048 CLIENT SERVICE ENCOUNTERS OF CARE COORDINATION; PROVIDED 76,834 CLIENT SERVICE ENCOUNTERS OF SKILLS BUILDING IN PERSONAL CARE AND COMMUNITY LIVING; AND PROVIDED AN ADDITIONAL 35,571 ENCOUNTERS OF OTHER COMMUNITY-BASED SERVICES. IN SUMMARY, A TOTAL OF 15,596 CONSUMERS WERE SERVED IN THE FISCAL YEAR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$12,738,527ExpenseAmt
Grant$91,270GrantAmt
Revenue$10,786,272RevenueAmt
DescRESIDENTIAL SERVICES - IN ADDITION TO THE BEHAVIORAL HEALTH SERVICES FOR THIS POPULATION, THE ORGANIZATION PROVIDED 29,530 DAYS OF CHILD & ADOLESCENT RESIDENTIAL CARE AND 9,016 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 31,730 DAYS WERE PROVIDED TO THIS SEGMENT OF THE ADULT POPULATION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,141,115ExpenseAmt
Grant$0GrantAmt
Revenue$3,232,239RevenueAmt
DescINPATIENT SERVICES - PROVIDED 4,520 INPATIENT DAYS OF PSYCHIATRIC AND SUBSTANCE ABUSE STABILIZATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$42,998,940TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document64IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1159EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joseph BarkmanBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5745331234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1330 Lakeview DrAddressLine1Txt
CityGoshenCityNm
State AbbreviationINStateAbbreviationCd
ZIP46528ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Randall Cammenga MD
Board Chair0.500.00Yes (X)Yes (X)$0$0$0
Audra Mark
Vice Chair-term began Jan'170.300.00Yes (X)Yes (X)$0$0$0
Kay Evans Ball
Board Secretary0.300.00Yes (X)Yes (X)$0$0$0
Robert Shreiner
Board Treasurer0.300.00Yes (X)Yes (X)$0$0$0
Marion Fulce
Board Assistant Secretary0.300.00Yes (X)Yes (X)$0$0$0
Terri Burks
board member0.300.00Yes (X)$0$0$0
Jay Caponigro
Board Member0.300.00Yes (X)$0$0$0
Janilyn Daub
Board Member0.300.00Yes (X)$0$0$0
Jim Dubois
board member0.300.00Yes (X)$0$0$0
Carol Ebersole
board member0.300.00Yes (X)$0$0$0
Esleen Fultz
board member-term began Jan'170.300.00Yes (X)$0$0$0
Trish Hankila
board member-term began Jan'170.300.00Yes (X)$0$0$0
Ken Hochstetler
board member-term began Jan'170.300.00Yes (X)$0$0$0
Chris Karam
Board member0.300.00Yes (X)$0$0$0
Darryl Riegsecker
board member0.300.00Yes (X)$0$0$0
Bradley Rogers
board member0.300.00Yes (X)$0$0$0
Beverly Teegarden
board member0.300.00Yes (X)$0$0$0
Phil Wiens
board member0.300.00Yes (X)$0$0$0
Rod Diller
Board member-term ended Dec'160.300.00Yes (X)$0$0$0
LAURIE NAFZIGER
President/CEO40.001.00Yes (X)$238,121$0$43,735
Joseph Barkman
CFO40.001.00Yes (X)$110,525$0$24,004
Gregg Nussbaum
Vice President40.000.00Yes (X)$90,821$0$22,604
DANIEL KINSEY MD
Medical Director40.000.00$268,397$0$51,440Yes (X)
Michael Platt MD
psychiatrist40.000.00$241,460$0$48,431Yes (X)
David Taylor MD
psychiatrist40.000.00$238,977$0$49,778Yes (X)
Douglas Jarvis MD
Psychiatrist40.000.00$228,201$0$39,488Yes (X)
Timothy McFadden MD
psychiatrist40.000.00$225,514$0$45,986Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,642,016TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$325,466TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MapleTronics Computer Inc
2116 West Wilden Avenue PO Box 136GoshenIN46527IT Services$726,548
Qualifacts Systems Inc
PO Box 4577Caroil StreamIL60197EHR Services$509,766
South Bend Community School Corp
3003 North Bendix DriveSouth BendIN46628Council/Consulting Services$296,234
Golden Technologies
2402 Beech StreetValparaisoIN46383IT Equip/Support$265,165
Enterprise Fleet Management
PO Box 800089Kansas CityMO64180Fleet Management Services$264,952
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Related Organizations$440,107RelatedOrganizationsAmt
Government Grants$11,154,565GovernmentGrantsAmt
All Other Contributions$205,678AllOtherContributionsAmt
Total Contributions$11,800,350TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue900099$37,070,652$37,070,652
Government Funding900099$2,766,461$2,766,461
Outpatient Clinic Services900099$571,545$571,545
FieldValueIRS element (for citing)
Total Program Service Revenue$40,408,658TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$381,598TotalRevenueColumnAmt
Exclusion$381,598ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$335,763RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$335,763RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$335,763TotalRevenueColumnAmt
Related Or Exempt Func Income$335,763RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$26,891OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$17,383OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$9,508OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,508TotalRevenueColumnAmt
Exclusion$9,508ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Other Revenue900099$350,508$350,404$104
Meaningful Use Revenue900099$247,000$247,000
FieldValueIRS element (for citing)
Other Revenue Total$597,508OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,533,385TotalRevenueColumnAmt
Related Or Exempt Func Income$41,341,825RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$391,210ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$91,270TotalAmt
Program Services$91,270ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$529,808TotalAmt
Management And General$529,808ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$32,671,929TotalAmt
Program Services$29,975,436ProgramServicesAmt
Management And General$2,642,781ManagementAndGeneralAmt
Fundraising$53,712FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$373,606TotalAmt
Program Services$323,983ProgramServicesAmt
Management And General$49,009ManagementAndGeneralAmt
Fundraising$614FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,978,942TotalAmt
Program Services$2,583,274ProgramServicesAmt
Management And General$390,771ManagementAndGeneralAmt
Fundraising$4,897FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,321,095TotalAmt
Program Services$2,012,803ProgramServicesAmt
Management And General$304,476ManagementAndGeneralAmt
Fundraising$3,816FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$24,185TotalAmt
Management And General$24,185ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,373,184TotalAmt
Program Services$1,969,286ProgramServicesAmt
Management And General$1,356,925ManagementAndGeneralAmt
Fundraising$46,973FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$88,748TotalAmt
Program Services$77,234ProgramServicesAmt
Management And General$11,514ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,400,666TotalAmt
Program Services$1,218,948ProgramServicesAmt
Management And General$181,718ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,647,305TotalAmt
Program Services$568,451ProgramServicesAmt
Management And General$1,078,854ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$576,193TotalAmt
Program Services$501,440ProgramServicesAmt
Management And General$74,753ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$428,147TotalAmt
Program Services$372,601ProgramServicesAmt
Management And General$55,546ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$306,937TotalAmt
Management And General$306,937ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,037,381TotalAmt
Program Services$902,794ProgramServicesAmt
Management And General$134,587ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$599,108TotalAmt
Program Services$521,382ProgramServicesAmt
Management And General$77,726ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Hospital Assessment Fee$754,308$754,308
Food Supplies$584,760$483,834$100,926
Medication Supplies$296,811$245,584$51,227
Dues and Fees$128,042$105,942$22,100

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$350,942TotalAmt
Program Services$290,370ProgramServicesAmt
Management And General$60,572ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$50,563,367TotalAmt
Program Services$42,998,940ProgramServicesAmt
Management And General$7,454,415ManagementAndGeneralAmt
Fundraising$110,012FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,664BOYAmt
EOY$5,732EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,366,391BOYAmt
EOY$7,548,950EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,814,616BOYAmt
EOY$4,042,678EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,016,804BOYAmt
EOY$3,589,983EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$404,232BOYAmt
EOY$570,410EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$32,275,446LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,261,213LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,231,135BOYAmt
EOY$12,014,233EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,870,688BOYAmt
EOY$12,683,343EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,429,063BOYAmt
EOY$1,080,771EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$41,138,593BOYAmt
EOY$41,536,100EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,360,306BOYAmt
EOY$3,782,398EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$11,073BOYAmt
EOY$11,075EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$970,804BOYAmt
EOY$941,613EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,647,500BOYAmt
EOY$9,030,594EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,177,450BOYAmt
EOY$1,836,088EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,369,697BOYAmt
EOY$1,527,966EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,536,830BOYAmt
EOY$17,129,734EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,601,763BOYAmt
EOY$24,406,366EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,601,763BOYAmt
EOY$24,406,366EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$41,138,593BOYAmt
EOY$41,536,100EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,970,018ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$303,847NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$138,432OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,713,575CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,671,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,595,571CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,523,049CurrentTaxYearMinus1YearAmt
Current Tax Year$8,442,239CurrentTaxYearAmt
Total$40,946,374TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,160,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,424,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,331,074CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,604,909CurrentTaxYearMinus1YearAmt
Current Tax Year$41,006,062CurrentTaxYearAmt
Total$195,527,213TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,061,768CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,103,403CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,179,772CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,223,173CurrentTaxYearMinus1YearAmt
Current Tax Year$3,358,111CurrentTaxYearAmt
Total$15,926,227TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,935,943CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,199,911CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,106,417CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$55,351,131CurrentTaxYearMinus1YearAmt
Current Tax Year$52,806,412CurrentTaxYearAmt
Total$252,399,814TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$460,812CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,516,167CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,670,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,613,525CurrentTaxYearMinus1YearAmt
Current Tax Year$1,211,039CurrentTaxYearAmt
Total$6,472,395TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$460,812CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,516,167CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,670,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,613,525CurrentTaxYearMinus1YearAmt
Current Tax Year$1,211,039CurrentTaxYearAmt
Total$6,472,395TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$245,927,419PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$304,740CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$336,957CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$438,063CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$511,473CurrentTaxYearMinus1YearAmt
Current Tax Year$717,361CurrentTaxYearAmt
Total$2,308,594TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$304,740CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$336,957CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$438,063CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$511,473CurrentTaxYearMinus1YearAmt
Current Tax Year$717,361CurrentTaxYearAmt
Total$2,308,594TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,069CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,061CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,788CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,227CurrentTaxYearMinus1YearAmt
Current Tax Year$104CurrentTaxYearAmt
Total$36,249TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$43,272,752CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,537,929CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,546,268CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$55,863,831CurrentTaxYearMinus1YearAmt
Current Tax Year$53,523,877CurrentTaxYearAmt
Total$254,744,657TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96540PublicSupportCY509Pct
Public Support PY5090.97020PublicSupportPY509Pct
Investment Income CY0.00910InvestmentIncomeCYPct
Investment Income PY0.00810InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,976OtherActivitiesAmt
Total Lobbying Expenditures$2,976TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationA 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$855,638OtherCostOrOtherBasisAmt
Book Value$855,638BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,296,530OtherCostOrOtherBasisAmt
Depreciation$10,234,192DepreciationAmt
Book Value$9,062,338BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,117,164OtherCostOrOtherBasisAmt
Depreciation$10,027,021DepreciationAmt
Book Value$2,090,143BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,114OtherCostOrOtherBasisAmt
Book Value$6,114BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,014,233TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescFixed Income BondsDesc
Book Value$12,683,343BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$12,683,343TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Client Held Funds$90,823
Est. Third-Party Payor Settlement$1,331,562
Other Current Liabilities$19,527
Bond Interest Swap$86,054
FieldValueIRS element (for citing)
Total Liability$1,527,966TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationFOOTNOTE 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 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 OPC AND AFFILIATES, AND HAS CONCLUDED THAT AS OF JUNE 30, 2017 AND 2016, 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.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeAssistance to individuals and families for various needs through residentGrantTypeTxt
Recipient278RecipientCnt
Cash Grant$91,270CashGrantAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LAURIE NAFZIGER
President/CEO$238,121$0$0$0$0$0$6,906$0$36,829$0$281,856$0$0$0
DANIEL KINSEY MD
Medical Director$219,884$0$37,390$0$11,123$0$6,770$0$44,670$0$319,837$0$0$0
Michael Platt MD
psychiatrist$195,912$0$45,548$0$0$0$6,018$0$42,413$0$289,891$0$0$0
David Taylor MD
psychiatrist$194,360$0$44,617$0$0$0$6,088$0$43,690$0$288,755$0$0$0
Douglas Jarvis MD
Psychiatrist$204,904$0$23,297$0$0$0$4,783$0$34,705$0$267,689$0$0$0
Timothy McFadden MD
psychiatrist$206,166$0$19,130$0$218$0$5,248$0$40,738$0$271,500$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AUTHORITY OF ELKHART COUNTY INDIANABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN351657690BondIssuerEIN
Bond Issued2013-12-04BondIssuedDt
Issue Price$10,805,000IssuePriceAmt
PurposeSee Part VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$10,805,000TotalProceedsAmt
Other Spent Proceeds$10,805,000OtherSpentProceedsAmt
Substantial Completion2013SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1Fifth Third BankBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge5.000000000000TermOfHedgePct
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Bond Issue, Row A, Column FFormAndLineReferenceDesc
ExplanationDescription of Purpose: The issue was to refinance previously issued "Adjustable Rate Demand Revenue Refunding and Improvement Bonds, Series 2006".ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EVERENCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSee Part V belowRelationshipDescriptionTxt
Transaction$6,280,346TransactionAmt
TransactionSee Part VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV, Business Transactions involving interested persons:FormAndLineReferenceDesc
Explanation(A) NAME OF INTERESTED PERSON: EVERENCE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THE PRESIDENT OF EVERENCE, KEN HOCHSTETLER, AND SENIOR VICE PRESIDENT OF EVERENCE, RODNEY DILLER, served as BOARD MEMBERS FOR OAKLAWN PSYCHIATRIC CENTER, INC. (C) AMOUNT OF TRANSACTION: $6,280,346(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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 6, Volunteers:IN ADDITION TO ALL VOLUNTEER BOARD OF DIRECTORS, THE ORGANIZATION IS SUPPORTED BY MORE THAN 72 ACTIVE VOLUNTEERS WHO SERVE IN A VARIETY OF SUPPORT SERVICES. DURING THE FISCAL YEAR OVER 2,500 HOURS OF SERVICE WERE GIVEN BY THESE VOLUNTEERS.
Form 990, Part VI, Section A, line 1Delegated 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 7aELECTION OF MEMBERS: 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. BOARD MEMBERS APPOINTED BY MENNONITE HEALTH SERVICES ALLIANCE ARE THE SOLE MEMBERS OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Section B, line 11bFORM 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 12cConflict 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 15PROCESS 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 19DOCUMENTS 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 138,432.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Mennonite Health Services
1112 N Main StreetGoshenIN46528231421919Health and Human Service MinistriesIN501(c)(3)Line 10N/A0
Oaklawn foundation for Mental Health
po Box 809goshenIN46527356060037fundraising/Mental Health PromotionIN501(c)(3)Line 7Yes (1)OPC
OAKLAWN CMHC
330 Lakeview Dr PO Box 809goshenIN46527237317957healthcareIN501(c)(3)Line 7Yes (1)OPC
Simadon Corporation
po Box 809goshenIN46527208473080huD HousingIN501(c)(3)Line 7Yes (1)oPC
MADISON RESIDENTIAL SERVICES INC
Po Box 809goshenIN46527311135587huD HousingIN501(c)(3)Line 7Yes (1)oPC
Riverside Corporation
PO Box 809GoshenIN46527351875879huD HousingIN501(c)(3)Line 7Yes (1)opC
Oaklawn Estates Apartments Inc
PO Box 809goshenIN46527383646840huD HousingIN501(c)(3)Line 7Yes (1)opC
Oaklawn Apartments Inc
PO Box 809GoshenIN46527311009857HuD HousingIN501(c)(3)Line 7Yes (1)opc
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Oaklawn Foundation for Mental HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$440,107InvolvedAmt
Method Of Amount DeterminationFair market valueMethodOfAmountDeterminationTxt