2022-05-06T13:36:04-05:00 2021-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2020-07-01 351070041 OAKLAWN PSYCHIATRIC CENTER INC OAKL 5745331234 330 LAKEVIEW DR GOSHEN IN 46527 LAURIE N NAFZIGER PRESIDENT AND CEO 5745331234 2022-05-06 1 LAURIE NAFZIGER 999009999 NATHAN A RODGERS CPA P01568275 3176334705 2022-05-05 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z LAURIE N NAFZIGER 330 LAKEVIEW DR GOSHEN IN 46527 60925926 0 X WWW.OAKLAWN.ORG X 1959 IN TREATING THE WHOLE PERSON - MIND, BODY AND SPIRIT - IN ELKHART AND ST. JOSEPH COUNTIES, INDIANA. 16 15 1126 50 0 0 14275214 14903082 42981963 45051997 468788 332414 816548 633130 58542513 60920623 100777 333199 0 0 44675133 42962520 0 0 23501 12998550 12565691 57774460 55861410 768053 5059213 44422639 48038322 15479302 15521342 28943337 32516980 WITH UNCOMMON EXPERTISE IN MENTAL HEALTH AND ADDICTIONS SERVICES, OAKLAWN JOINS WITH INDIVIDUALS, FAMILIES, AND OUR COMMUNITY ON THE JOURNEY TOWARD HEALTH AND WHOLENESS. 0 0 26752790 27136965 OUTPATIENT SERVICES PROVIDED OVER 162,862 CLIENT SERVICE ENCOUNTERS OF GROUP THERAPY, MEDICATION MANAGEMENT, AND INDIVIDUAL THERAPY; PROVIDED 71,905 CLIENT SERVICE ENCOUNTERS OF CARE COORDINATION; PROVIDED 59,550 CLIENT SERVICE ENCOUNTERS OF SKILLS BUILDING IN PERSONAL CARE AND COMMUNITY LIVING; AND PROVIDED AN ADDITIONAL 27,221 ENCOUNTERS OF OTHER COMMUNITY-BASED SERVICES. IN SUMMARY, A TOTAL OF 24,200 CONSUMERS WERE SERVED IN THE FISCAL YEAR. 17257654 333199 15807054 RESIDENTIAL SERVICES IN ADDITION TO THE BEHAVIORAL HEALTH SERVICES FOR THIS POPULATION, THE ORGANIZATION PROVIDED 28,532 DAYS OF CHILD & ADOLESCENT RESIDENTIAL CARE AND 0 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 37,819 DAYS WERE PROVIDED TO THIS SEGMENT OF THE ADULT POPULATION. 3001049 2741108 INPATIENT SERVICES PROVIDED 3,740 INPATIENT DAYS OF PSYCHIATRIC AND SUBSTANCE ABUSE STABILIZATION. 47011493 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 39 0 1 1126 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X JOSEPH T BARKMAN 5745331234 330 LAKEVIEW DR GOSHEN IN 46528 ROBERT SHREINER CHAIRMAN 0.30 0.00 X X 0 0 0 JAY CAPONIGRO VICE CHAIR 0.30 0.00 X X 0 0 0 CHRIS KARAM BOARD TREASURER 0.30 0.00 X X 0 0 0 SARAH PATURAISKI BOARD SECRETARY-TERM BEGAN JAN'21 0.30 0.00 X X 0 0 0 MARION FULCE BOARD ASSISTANT SECRETARY 0.30 0.00 X X 0 0 0 JANILYN BROUWNER DAUB BOARD MEMBER 0.30 0.00 X 0 0 0 ESLEEN FULTZ BOARD MEMBER 0.30 0.00 X 0 0 0 ADRIANA GARCIA BONTREGER BOARD MEMBER 0.30 0.00 X 0 0 0 KIMBERLY GREEN REEVES BOARD MEMBER 0.30 0.00 X 0 0 0 TRISH HANKILA BOARD MEMBER 0.30 0.00 X 0 0 0 KEN HOCHSTETLER BOARD MEMBER 0.30 0.00 X 0 0 0 AUDRA MARK BOARD MEMBER 0.50 0.00 X 0 0 0 MIKE YODER BOARD MEMBER 0.30 0.00 X 0 0 0 DARRYL RIEGSECKER BOARD MEMBER 0.30 0.00 X 0 0 0 JEFF SIEGEL BOARD MEMBER 0.30 0.00 X 0 0 0 BRAD ROGERS BOARD MEMBER 0.30 0.00 X 0 0 0 LAURIE NAFZIGER PRESIDENT/CEO 40.00 1.00 X 281795 0 48026 JOSEPH BARKMAN CFO 40.00 1.00 X 125764 0 31211 BONITA SCHROCK VICE PRESIDENT 40.00 0.00 X 112075 0 24405 DANIEL KINSEY MD MEDICAL DIRECTOR 40.00 0.00 X 308855 0 63351 MICHAEL PLATT MD PSYCHIATRIST 40.00 0.00 X 251962 0 54158 DAVID TAYLOR MD PSYCHIATRIST 40.00 0.00 X 241539 0 49926 DOUGLAS JARVIS MD PSYCHIATRIST 40.00 0.00 X 246394 0 45764 TIMOTHY MCFADDEN MD PSYCHIATRIST 40.00 0.00 X 243122 0 51270 1811506 0 368111 25 0 1 0 MAPLETRONICS COMPUTER INC 2116 WEST WILDEN AVENUE PO BOX 136 GOSHEN IN 46527 IT SERVICES 1386317 INDIANA FAMILY & SOCIAL SERVICES ADMINIS PO BOX 621007 INDIANAPOLIS IN 462621007 HAF/HIP FEES 620618 QUALIFACTS SYSTEMS INC PO BOX 4577 CAROL STREAM IL 601974577 EHR SERVICES 615783 HERMAN & GOETZ 225 S LAFAYETTE BLVD SOUTH BEND IN 46601 EQUIPMENT/BOILER MAINENANCE/REPAIR 259618 ENTERPRISE FLEET MANAGEMENT PO BOX 800089 KANSAS CITY MO 64180 FLEET MANAGEMENT SERVICES 236959 11 404154 13209410 1289518 14903082 NET PATIENT SERVICE REVENUE 900099 42059838 42059838 GOVERNMENT FUNDING 900099 2626843 2626843 OUTPATIENT CLINIC SERVICES 900099 365316 365316 45051997 288595 288595 323357 0 323357 323357 323357 49122 5303 43819 43819 43819 309773 309773 309773 60920623 45685127 0 332414 333199 333199 623276 623276 35350304 31788088 3562216 464664 417626 47038 3925842 3528427 397415 2598434 2335394 263040 42563 20273 22290 3763372 1792517 1970855 61243 46658 14585 1514635 1225699 269008 19928 267359 203689 63670 1733307 923969 807141 2197 344272 262285 81987 307388 234185 73203 279718 250899 28044 775 912405 800032 111772 601 794519 605307 189212 HOSPITAL ASSESSMENT FEE 1278191 1278191 FOOD SUPPLIES 648029 493703 154326 MEDICATION SUPPLIES 195591 149012 46579 PATIENT CARE SUPPLIES 126054 96035 30019 297045 226305 70740 55861410 47011493 8826416 23501 5409 5330 10953733 18493534 3818983 4733608 2816983 2698785 905097 654282 29824743 20977461 10787837 8847282 13990030 10933691 1144567 1671810 44422639 48038322 4332048 5144361 6625 14583 854040 824848 7489259 6905246 376448 365085 2420882 2267219 15479302 15521342 X 28943337 32516980 28943337 32516980 44422639 48038322 X 5059213 -227998 -1257572 X X 0 1 X 1 1 1 X 8442239 8820286 8765600 10528571 11074177 47630873 41006062 43488985 45075351 43478535 45361770 218410703 3358111 3474728 3677230 3746643 3828905 18085617 52806412 55783999 57518181 57753749 60264852 284127193 0 1746278 2402465 2113748 2181071 1679979 10123541 1746278 2402465 2113748 2181071 1679979 10123541 274003652 717361 768899 835422 785016 611952 3718650 717361 768899 835422 785016 611952 3718650 104 76 180 53523877 56552974 58353603 58538765 60876804 287846023 0.95190 0.95160 0.01290 0.01280 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER OPERATING REVENUE - 2016 AMOUNT: $ 104. 2017 AMOUNT: $ 76. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2977 2977 0 PART II-B, LINE 1: A PORTION OF MEMBERSHIP DUES PAID TO INDIANA COUNCIL OF COMMUNITY MENTAL HEALTH CENTERS (ICCMHC) AND INDIANA ASSOCIATION OF RESIDENTIAL CHILD CARE AGENCIES (IARCCA) WERE ATTRIBUTED TO LOBBYING EXPENSES. 703352 703352 17567524 11357398 6210126 11092212 9620063 1472149 461655 461655 8847282 FIXED INCOME BONDS 10933691 F 10933691 CLIENT HELD FUNDS 255644 ESTIMATED THIRD-PARTY PAYOR SETTLEM 1480496 OTHER CURRENT LIABILITIES 6625 BOND INTEREST SWAP 524454 2267219 X PART X, LINE 2: OPC AND AFFILIATES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, OPC AND AFFILIATES ARE GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, OPC AND AFFILIATES ARE REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATIONAL RETURN ONLY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY OPC AND AFFILIATES AND RECOGNIZE A TAX LIABILITY IF OPC AND AFFILIATES HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY OPC AND AFFILIATES, AND HAS CONCLUDED THAT AS OF JUNE 30, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. OPC AND AFFILIATES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 ASSISTANCE TO INDIVIDUALS AND FAMILIES FOR VARIOUS NEEDS THROUGH RESIDENT 176 333199 0 PART I, LINE 2: 1. THE CONTROLLER AND ACCOUNTING MANAGER MONITOR ALL GRANT ACTIVITIES AND FOLLOW UP ON ANY ISSUES. 2. ALL DISBURSEMENTS ARE APPROVED BY THE CONTROLLER OR ACCOUNTING MANAGER THROUGH OUR NORMAL INTERNAL CONTROL SYSTEM FOR DISBURSEMENTS. 3. ALL BILLINGS ARE REVIEWED AND APPROVED BY THE CONTROLLER OR ACCOUNTING MANAGER. 4. ALL RECEIPTS FOR GRANTS ARE REVIEWED BY THE CONTROLLER OR ACCOUNTING MANAGER AND RECEIVED BY OPC THROUGH OUR NORMAL INTERNAL CONTROL SYSTEM FOR RECEIPTS. 5. THE CONTROLLER AND ACCOUNTING MANAGER ALSO PREPARE FOR AND COORDINATE ALL AUDITS FOR ANY GRANT PROGRAM - FEDERAL, STATE, LOCAL OR OUR CPA FIRM. X X X X 0 0 0 0 0 0 0 0 0 DANIEL KINSEY MD MEDICAL DIRECTOR 251409 0 56968 0 478 0 6953 0 56398 0 372206 0 0 0 LAURIE NAFZIGER PRESIDENT/CEO 281795 0 0 0 0 0 4604 0 43422 0 329821 0 0 0 MICHAEL PLATT MD PSYCHIATRIST 211491 0 40471 0 0 0 6562 0 47596 0 306120 0 0 0 TIMOTHY MCFADDEN MD PSYCHIATRIST 221636 0 21486 0 0 0 6701 0 44569 0 294392 0 0 0 DOUGLAS JARVIS MD PSYCHIATRIST 222671 0 23723 0 0 0 6766 0 38998 0 292158 0 0 0 DAVID TAYLOR MD PSYCHIATRIST 213931 0 27385 0 223 0 6635 0 43291 0 291465 0 0 0 JOSEPH BARKMAN CFO 125764 0 0 0 0 0 4008 0 27203 0 156975 0 0 0 A HOSPITAL AUTHORITY OF ELKHART COUNTY INDIANA 351657690 2018-08-31 8495000 SEE PART VI 0 0 0 A 8495000 8495000 2018 1 0 1 1 A 0 1 1 1 0 0 0 1 A 0 1 0 0 1 1 FIFTH THIRD BANK 10.000000000000 0 0 0 0 1 A 1 PART I, BOND ISSUE, ROW A, COLUMN F DESCRIPTION OF PURPOSE: THE ISSUE WAS TO REFINANCE PREVIOUSLY ISSUED "ADJUSTABLE RATE DEMAND REVENUE REFUNDING AND IMPROVEMENT BONDS, SERIES 2013". EVERENCE SEE PART V BELOW 6488825 SEE PART V 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: EVERENCE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: KEN HOCHSTETLER, BOARD MEMBER OF OAKLAWN, IS THE PRESIDENT OF EVERENCE(C) AMOUNT OF TRANSACTION: $6,488,825.00(D) DESCRIPTION OF TRANSACTION: EVERENCE ADMINISTERS THE EMPLOYEE HEALTH INSURANCE PLAN FOR OAKLAWN PSYCHIATRIC CENTER, INC. AND IS THE INVESTMENT ADVISOR FOR ITS 403B RETIREMENT PLAN. TRANSACTION AMOUNT IS FOR INSURANCE PREMIUMS PAID. FORM 990, PART I, LINE 6, VOLUNTEERS: IN ADDITION TO ALL VOLUNTEER BOARD OF DIRECTORS, THE ORGANIZATION IS SUPPORTED BY MORE THAN 50 ACTIVE VOLUNTEERS WHO SERVE IN A VARIETY OF SUPPORT SERVICES. DURING THE FISCAL YEAR OVER 3,500 HOURS OF SERVICE WERE GIVEN BY THESE VOLUNTEERS. FORM 990, PART VI, SECTION A, LINE 1 DELEGATED AUTHORITY: PER THE BYLAWS, THE EXECUTIVE COMMITTEE OF THE BOARD IS AUTHORIZED TO ACT ON THE FULL BOARD'S BEHALF. THE FULL BOARD MEETS QUARTERLY AND THE EXECUTIVE COMMITTEE GENERALLY MEETS AN ADDITIONAL FOUR TIMES ON ALTERNATE MONTHS. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS: VOTING MEMBERS ARE SELECTED BY THE SPONSORING ORGANIZATION, MENNONITE HEALTH SERVICES ALLIANCE, AS PROVIDED IN THE BYLAWS 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 11B FORM 990 REVIEW PROCESS: THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW BY THE ORGANIZATION'S SENIOR MANAGEMENT AND CHIEF EXECUTIVE OFFICER. THE GOVERNING BODY RECEIVES A COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST COMPLIANCE: THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. OAKLAWN STAFF, BOARD MEMBERS, VOLUNTEERS AND AGENTS SHALL EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS TOUCHING UPON THEIR DUTY TO OAKLAWN AND ITS PROPERTY, AND SHALL FULLY DISCLOSE ANY CONFLICT OF INTEREST. ANNUALLY, BOARD MEMBERS SIGN THAT THEY WILL ABIDE BY THE POLICY AND DECLARE ANY CONFLICT OF INTEREST THEY MAY HAVE WITH THE ORGANIZATION OR ITS RELATED ORGANIZATIONS, AND ABSTAIN FROM ANY VOTING WHERE A CONFLICT COULD EXIST. FORM 990, PART VI, SECTION B, LINE 15 PROCESS OF DETERMINING COMPENSATION: TOP OFFICIAL: THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION PACKAGE PROVIDED TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. THE COMPENSATION REVIEW INCLUDES A MARKET ANALYSIS STUDY AND A PERFORMANCE REVIEW. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. OTHER OFFICERS: THE ORGANIZATION ANNUALLY PARTICIPATES IN SEVERAL MARKET SURVEYS. MANAGEMENT COMPARES COMPENSATION LEVELS OF LIKE POSITIONS AND STRIVES TO ADJUST THE ORGANIZATION'S COMPENSATION PACKAGES FOR LIKE POSITIONS TO FALL WITHIN THE RANGE OF THE MARKET WITH A GOAL TO BE COMPETITIVELY PLACED BETWEEN THE 50TH AND 75TH PERCENTILE OF THE MARKET RANGE. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE TO THE PUBLIC: COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED FOR REVIEW UPON REQUEST. IN ADDITION, THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSION; MEETING THE REQUIREMENTS FOR THE BEHAVIORAL HEALTH CARE ACCREDITATION PROCESS. ALSO, THE ORGANIZATION IS CERTIFIED BY THE STATE OF INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION, DIVISION OF MENTAL HEALTH AND ADDICTIONS, AS AN INDIANA COMMUNITY MENTAL HEALTH CENTER (CMHC). ACCORDINGLY, GOVERNING DOCUMENTS ARE REVIEWED AND REGULARLY PROVIDED TO THESE AND OTHER PUBLIC BODIES. FORM 990, PART XI, LINE 9: CHANGE IN DERIVATIVE 302,170. LOSS ON BOND DEFEASANCE -1,559,742. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. MENNONITE HEALTH SERVICES 1112 N MAIN STREET GOSHEN IN 46528 231421919 HEALTH AND HUMAN SERVICE MINISTRIES IN 501(C)(3) LINE 11 N/A 0 OAKLAWN FOUNDATION FOR MENTAL HEALTH PO BOX 809 GOSHEN IN 46527 356060037 FUNDRAISING/MENTAL HEALTH PROMOTION IN 501(C)(3) LINE 7 OPC 1 OAKLAWN CMHC 330 LAKEVIEW DR PO BOX 809 GOSHEN IN 46527 237317957 HEALTHCARE IN 501(C)(3) LINE 7 OPC 1 SIMADON CORPORATION PO BOX 809 GOSHEN IN 46527 208473080 HUD HOUSING IN 501(C)(3) LINE 7 OPC 1 MADISON RESIDENTIAL SERVICES INC PO BOX 809 GOSHEN IN 46527 311135587 HUD HOUSING IN 501(C)(3) LINE 7 OPC 1 RIVERSIDE CORPORATION PO BOX 809 GOSHEN IN 46527 351875879 HUD HOUSING IN 501(C)(3) LINE 7 OPC 1 OAKLAWN ESTATES APARTMENTS INC PO BOX 809 GOSHEN IN 46527 383646840 HUD HOUSING IN 501(C)(3) LINE 7 OPC 1 OAKLAWN APARTMENTS INC PO BOX 809 GOSHEN IN 46527 311009857 HUD HOUSING IN 501(C)(3) LINE 7 OPC 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 OAKLAWN FOUNDATION FOR MENTAL HEALTH C 404154 FAIR MARKET VALUE