STRATEGY STUDIO / PUBLIC DATA EXPLORER

OAKLAWN PSYCHIATRIC CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
OAKLAWN PSYCHIATRIC CENTER INC (EIN 35-1070041)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-12-21
IRS object ID
201613569349300411
Schema version
2015v2.1
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)
Return2016-12-21T10:49:43-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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 Begin2015-07-01TaxPeriodBeginDt

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
Signature2016-12-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmber Kocher CPAPreparerPersonNm
PTINP01286298PTIN
Phone3176334705PhoneNum
Preparation2016-12-21PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$55,865,756GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1168TotalEmployeeCnt
Total Volunteers72TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,433,699PYContributionsGrantsAmt
CY Contributions Grants$12,746,222CYContributionsGrantsAmt
PY Program Service Revenue$41,083,110PYProgramServiceRevenueAmt
CY Program Service Revenue$42,202,847CYProgramServiceRevenueAmt
PY Investment Income$154,674PYInvestmentIncomeAmt
CY Investment Income$209,992CYInvestmentIncomeAmt
PY Other Revenue$538,151PYOtherRevenueAmt
CY Other Revenue$706,499CYOtherRevenueAmt
PY Total Revenue$53,209,634PYTotalRevenueAmt
CY Total Revenue$55,865,560CYTotalRevenueAmt
PY Grants And Similar Paid$97,993PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$100,096CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$38,911,578PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,852,082CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$86,401CYTotalFundraisingExpenseAmt
PY Other Expenses$10,166,457PYOtherExpensesAmt
CY Other Expenses$11,603,872CYOtherExpensesAmt
PY Total Expenses$49,176,028PYTotalExpensesAmt
CY Total Expenses$52,556,050CYTotalExpensesAmt
PY Revenues Less Expenses$4,033,606PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,309,510CYRevenuesLessExpensesAmt
Total Assets BOY$36,504,677TotalAssetsBOYAmt
Total Assets EOY$41,138,593TotalAssetsEOYAmt
Total Liabilities BOY$18,157,765TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,536,830TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,346,912NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,601,763NetAssetsOrFundBalancesEOYAmt
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$28,491,652ExpenseAmt
Grant$0GrantAmt
Revenue$27,528,621RevenueAmt
DescOUTPATIENT Services - PROVIDED OVER 115,211 CLIENT SERVICE ENCOUNTERS OF GROUP THERAPY, MEDICATION MANAGEMENT, AND INDIVIDUAL THERAPY; PROVIDED 84,011 CLIENT SERVICE ENCOUNTERS OF CARE COORDINATION; PROVIDED 77,396 CLIENT SERVICE ENCOUNTERS OF SKILLS BUILDING IN PERSONAL CARE AND COMMUNITY LIVING; AND PROVIDED AN ADDITIONAL 35,831 ENCOUNTERS OF OTHER COMMUNITY-BASED SERVICES. IN SUMMARY, A TOTAL OF 16,853 CONSUMERS WERE SERVED IN THE FISCAL YEAR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,076,139ExpenseAmt
Grant$100,096GrantAmt
Revenue$11,552,816RevenueAmt
DescRESIDENTIAL SERVICES - IN ADDITION TO THE BEHAVIORAL HEALTH SERVICES FOR THIS POPULATION, THE ORGANIZATION PROVIDED 33,835 DAYS OF CHILD & ADOLESCENT RESIDENTIAL CARE AND 8,371 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 33,226 DAYS WERE PROVIDED TO THIS SEGMENT OF THE ADULT POPULATION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,589,489ExpenseAmt
Grant$0GrantAmt
Revenue$3,826,682RevenueAmt
DescINPATIENT SERVICES - PROVIDED 5,046 INPATIENT DAYS OF PSYCHIATRIC AND SUBSTANCE ABUSE STABILIZATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$45,157,280TotalProgramServiceExpensesAmt
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 Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1168EmployeeCnt
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 (23 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
Kay Evans Ball
Board Secretary0.500.00Yes (X)Yes (X)$0$0$0
Robert Shreiner
Board Treasurer0.500.00Yes (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
Rod Diller
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
Marion Fulce
board member0.300.00Yes (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
LAURIE NAFZIGER
President/CEO40.001.00Yes (X)$236,706$0$43,219
Joseph Barkman
CFO40.001.00Yes (X)$107,553$0$23,248
Gregg Nussbaum
Vice President40.000.00Yes (X)$89,741$0$22,623
DANIEL KINSEY MD
Medical Director40.000.00$277,275$0$50,774Yes (X)
Elisa Bell MD
psychiatrist40.000.00$240,302$0$45,637Yes (X)
Timothy McFadden MD
psychiatrist40.000.00$234,358$0$47,168Yes (X)
Michael Platt MD
psychiatrist40.000.00$234,631$0$46,048Yes (X)
Nicholas Kramer
Psychiatrist40.000.00$233,664$0$38,020Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,654,230TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$316,737TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
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
Golden Technologies
2402 Beech StreetValparaisoIN46383IT Equip/Support$811,178
Qualifacts Systems Inc
200 2nd Ave SouthNashvilleTN37201EHR Services$434,026
Herrman & Goetz
225 S Lafayette BlvdSouth BendIN46527HVAC Services$363,190
American Bergen Drug Corp
25199 Network PlaceChicagoIL60673Healthcare Consulting$329,570
Enterprise Fleet Management
PO Box 800089Kansas CityMO64180Auto Fleet Services$242,961
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Related Organizations$576,555RelatedOrganizationsAmt
Government Grants$11,890,509GovernmentGrantsAmt
All Other Contributions$279,158AllOtherContributionsAmt
Total Contributions$12,746,222TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue900099$39,205,860$39,205,860
Government Funding900099$2,489,004$2,489,004
Outpatient Clinic Services900099$507,983$507,983
FieldValueIRS element (for citing)
Total Program Service Revenue$42,202,847TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$208,263TotalRevenueColumnAmt
Exclusion$208,263ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$303,210RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$303,210RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$303,210TotalRevenueColumnAmt
Related Or Exempt Func Income$303,210RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,925OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$196OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,729OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,729TotalRevenueColumnAmt
Exclusion$1,729ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Other Revenue900099$205,289$204,062$1,227
Meaningful Use Revenue900099$198,000$198,000
FieldValueIRS element (for citing)
Other Revenue Total$403,289OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,865,560TotalRevenueColumnAmt
Related Or Exempt Func Income$42,908,119RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$211,219ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$100,096TotalAmt
Program Services$100,096ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$523,088TotalAmt
Management And General$523,088ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$32,703,969TotalAmt
Program Services$30,127,187ProgramServicesAmt
Management And General$2,523,017ManagementAndGeneralAmt
Fundraising$53,765FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$347,089TotalAmt
Program Services$314,284ProgramServicesAmt
Management And General$32,234ManagementAndGeneralAmt
Fundraising$571FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,987,018TotalAmt
Program Services$4,515,673ProgramServicesAmt
Management And General$463,146ManagementAndGeneralAmt
Fundraising$8,199FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,290,918TotalAmt
Program Services$2,074,393ProgramServicesAmt
Management And General$212,759ManagementAndGeneralAmt
Fundraising$3,766FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,948,625TotalAmt
Program Services$2,423,461ProgramServicesAmt
Management And General$1,505,064ManagementAndGeneralAmt
Fundraising$20,100FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$50,355TotalAmt
Program Services$44,488ProgramServicesAmt
Management And General$5,867ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,052,597TotalAmt
Program Services$929,960ProgramServicesAmt
Management And General$122,637ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,574,504TotalAmt
Program Services$509,431ProgramServicesAmt
Management And General$1,065,073ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$636,978TotalAmt
Program Services$562,765ProgramServicesAmt
Management And General$74,213ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$391,443TotalAmt
Program Services$345,837ProgramServicesAmt
Management And General$45,606ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$295,324TotalAmt
Management And General$295,324ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,148,184TotalAmt
Program Services$1,014,411ProgramServicesAmt
Management And General$133,773ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$574,728TotalAmt
Program Services$507,767ProgramServicesAmt
Management And General$66,961ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Food Supplies$617,398$508,511$108,887
Hospital Assessment Fee$549,864$549,864
Medication Supplies$382,108$314,718$67,390
Patient Care Supplies$177,017$145,798$31,219

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$204,747TotalAmt
Program Services$168,636ProgramServicesAmt
Management And General$36,111ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$52,556,050TotalAmt
Program Services$45,157,280ProgramServicesAmt
Management And General$7,312,369ManagementAndGeneralAmt
Fundraising$86,401FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,870BOYAmt
EOY$5,664EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,965,893BOYAmt
EOY$11,366,391EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,946,714BOYAmt
EOY$3,814,616EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,013,637BOYAmt
EOY$3,016,804EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$352,680BOYAmt
EOY$404,232EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$31,548,461LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,317,326LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,535,993BOYAmt
EOY$12,231,135EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,739,466BOYAmt
EOY$8,870,688EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$944,424BOYAmt
EOY$1,429,063EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$36,504,677BOYAmt
EOY$41,138,593EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,093,751BOYAmt
EOY$5,360,306EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$20,563BOYAmt
EOY$11,073EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$261,539BOYAmt
EOY$970,804EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,122,500BOYAmt
EOY$9,647,500EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,518,638BOYAmt
EOY$2,177,450EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,140,774BOYAmt
EOY$1,369,697EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,157,765BOYAmt
EOY$19,536,830EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,346,912BOYAmt
EOY$21,601,763EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,346,912BOYAmt
EOY$21,601,763EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,504,677BOYAmt
EOY$41,138,593EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,309,510ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$80,045NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$25,386OtherChangesInNetAssetsAmt
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$7,846,524CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,713,575CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,671,940CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,595,571CurrentTaxYearMinus1YearAmt
Current Tax Year$9,523,049CurrentTaxYearAmt
Total$40,350,659TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,433,807CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,160,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,424,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,331,074CurrentTaxYearMinus1YearAmt
Current Tax Year$42,604,909CurrentTaxYearAmt
Total$185,954,958TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,928,819CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,061,768CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,103,403CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,179,772CurrentTaxYearMinus1YearAmt
Current Tax Year$3,223,173CurrentTaxYearAmt
Total$15,496,935TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,209,150CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,935,943CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,199,911CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$52,106,417CurrentTaxYearMinus1YearAmt
Current Tax Year$55,351,131CurrentTaxYearAmt
Total$241,802,552TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$460,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,512,581CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,670,802CurrentTaxYearMinus1YearAmt
Current Tax Year$1,613,505CurrentTaxYearAmt
Total$5,257,632TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$460,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,512,581CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,670,802CurrentTaxYearMinus1YearAmt
Current Tax Year$1,613,505CurrentTaxYearAmt
Total$5,257,632TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$236,544,920PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,632CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$311,615CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$695,517CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$443,073CurrentTaxYearMinus1YearAmt
Current Tax Year$513,398CurrentTaxYearAmt
Total$1,982,235TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,632CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$311,615CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$695,517CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$443,073CurrentTaxYearMinus1YearAmt
Current Tax Year$513,398CurrentTaxYearAmt
Total$1,982,235TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$32,069CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,788CurrentTaxYearMinus1YearAmt
Current Tax Year$1,227CurrentTaxYearAmt
Total$36,145TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,227,782CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,279,627CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,896,489CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$52,551,278CurrentTaxYearMinus1YearAmt
Current Tax Year$55,865,756CurrentTaxYearAmt
Total$243,820,932TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97020PublicSupportCY509Pct
Investment Income CY0.00810InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3OAKLAWN PSYCHIATRIC CENTER, INC. (THE "CENTER") HAS BEEN DETERMINED BY THE IRS TO BE A PUBLIC CHARITY UNDER IRS CODE SECTION 170(B)(1)(A)(III). PER SCHEDULE H INSTRUCTIONS, ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE AS A HOSPITAL IS REQUIRED TO COMPLETE SCHEDULE H. THE CENTER PROVIDES MENTAL HEALTH SERVICES FOR CHILDREN, ADULTS, AND SENIORS; IS ACCREDITED BY THE JOINT COMMISSION AS A BEHAVIORAL HEALTH CARE CENTER; AND IS CERTIFIED BY THE INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION THROUGH THE DIVISION OF MENTAL HEALTH AND ADDICTION (DMHA). THE CENTER IS NOT LICENSED AS A HOSPITAL IN THE STATE OF INDIANA, BUT IS LICENSED AS A FREE-STANDING PSYCHIATRIC INPATIENT TREATMENT FACILITY UNDER INDIANA ADMINISTRATIVE CODE 440 ARTICLE 1.5 THROUGH THE DMHA.
Part I, line 9; Part III, line 16 and 18OAKLAWN PSYCHIATRIC CENTER, INC. (THE "CENTER") HAS changed its reason for public charity status from Line 3 Hospital to an organization that normally receives more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions with no more than 33 1/3% of its support from gross investment income and unrelated business taxable income. The Center is in the process of updating its official public charity status with the IRS for fiscal year 2017.

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$2,130OtherActivitiesAmt
Total Lobbying Expenditures$2,130TotalLobbyingExpendituresAmt
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$19,066,364OtherCostOrOtherBasisAmt
Depreciation$9,724,451DepreciationAmt
Book Value$9,341,913BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,626,459OtherCostOrOtherBasisAmt
Depreciation$9,592,875DepreciationAmt
Book Value$2,033,584BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,231,135TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescFixed Income BondsDesc
Book Value$8,870,688BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$8,870,688TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Client Held Funds$47,823
Est. Third-Party Payor Settlem$1,073,478
Other Current Liabilities$23,910
Bond Interest Swap$224,486
FieldValueIRS element (for citing)
Total Liability$1,369,697TotalLiabilityAmt
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, 2016 AND 2015, 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
Recipient305RecipientCnt
Cash Grant$100,096CashGrantAmt

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$229,975$0$0$0$6,731$0$6,831$0$36,388$0$279,925$0$0$0
DANIEL KINSEY MD
Medical Director$236,797$0$39,856$0$622$0$7,216$0$43,558$0$328,049$0$0$0
Elisa Bell MD
psychiatrist$240,302$0$0$0$0$0$7,289$0$38,348$0$285,939$0$0$0
Timothy McFadden MD
psychiatrist$204,782$0$29,576$0$0$0$6,259$0$40,909$0$281,526$0$0$0
Michael Platt MD
psychiatrist$199,129$0$35,502$0$0$0$6,148$0$39,900$0$280,679$0$0$0
Nicholas Kramer
Psychiatrist$199,625$0$34,039$0$0$0$4,893$0$33,127$0$271,684$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$6,188,145TransactionAmt
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 SENIOR VICE PRESIDENT of Everence, Rodney Diller, is a current BOARD MEMBER FOR OAKLAWN PSYCHIATRIC CENTER, Inc.(C) AMOUNT OF TRANSACTION: $6,188,145(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 (10 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 IV, Line 20a, hospital facility:OAKLAWN PSYCHIATRIC CENTER, INC. (THE "CENTER") PROVIDES MENTAL HEALTH SERVICES FOR CHILDREN, ADULTS, AND SENIORS; AND, IS A FREE-STANDING PSYCHIATRIC INPATIENT TREATMENT FACILITY UNDER INDIANA ADMINISTRATIVE CODE 440 ARTICLE 1.5. THE CENTER IS LICENSED THROUGH THE INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION THROUGH THE DIVISION OF MENTAL HEALTH AND ADDICTION (DMHA). THE IRS GRANTED THE CENTER PUBLIC CHARITY STATUS UNDER IRS CODE SECTION 170(B)(1)(A)(III). PER SCHEDULE H INSTRUCTIONS, ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE AS A HOSPITAL IS REQUIRED TO COMPLETE SCHEDULE H. THE CENTER IS NOT LICENSED AS A HOSPITAL IN THE STATE OF INDIANA, THEREFORE, THE CENTER IS NOT REQUIRED TO COMPLETE SCHEDULE H.
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 11FORM 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 25,386.
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 9N/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 Facilities0SharingOfFacilitiesInd
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$576,555InvolvedAmt
Method Of Amount DeterminationFair market valueMethodOfAmountDeterminationTxt